Form Mo-3nr - Partnership/s Corporation Withholding Exemption/ Revocation Agreement Page 2
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1
2INSTRUCTIONS FOR FORM MO-3NR, PARTNERSHIP/S CORPORATION
WITHHOLDING EXEMPTION/REVOCATION AGREEMENT
PURPOSE
PART 3 — WITHHOLDING TAX EXEMPTION REVOCATION
(TO BE COMPLETED BY TAXPAYER ELECTING TO REVOKE
The purpose of the Form MO-3NR is to initiate an agreement
between the nonresident partner/S corporation shareholder and the
THE EXEMPT STATUS)
Missouri Department of Revenue (Department) for an election of
Enter your name, address, and social security number in the spaces
exempt status from Missouri income tax withholding on Missouri
provided. By revoking your exemption status, the partnership/
distributive share item(s) of partnership/S corporation income.
S corporation is required to withhold Missouri income taxes on your
Additionally, the Form MO-3NR can be used to revoke this election
Missouri distributive share item(s) and to remit this withholding tax
of exempt withholding status.
on your behalf. The revocation will remain in effect until you elect to
change your exempt status by filing a new Form MO-3NR.
NOTE: If you are electing to revoke your withholding exemption
status please check the box at the top of the form and complete
Parts 1, 3, and 4 only.
PART 4 — SIGNATURE
You MUST sign and date your agreement. Please include a
PART 1 — NAME AND ADDRESS (TO BE COMPLETED BY THE
daytime telephone number where you may be reached in case the
PARTNERSHIP/S CORPORATION)
Department has questions regarding your agreement.
Enter the partnership or S corporation name, address, federal
identification number, Missouri identification number, and
WHEN TO FILE
partnership/S corporation indicator in the spaces provided.
This agreement will be considered timely filed for a taxable year,
and for all subsequent taxable years, if it is filed at or before the time
PART 2 — WITHHOLDING TAX EXEMPTION (TO BE COMPLETED
the annual return for such taxable year is required to be filed, without
BY TAXPAYER ELECTING EXEMPTION FROM WITHHOLDING)
regard to extension of time to file.
Enter your name, address, and social security number in the spaces
provided. By requesting an exemption from Missouri withholding on
WHERE TO FILE
your Missouri distributive share item(s) you are also agreeing to the
Mail completed Form MO-3NR(s) to: Department of Revenue, P.O.
following:
Box 3815, Jefferson City, MO 65105-3815.
(1) To file a return in accordance with the provisions of
Section 143.481, RSMo, and to make timely payment of
all taxes imposed on you by the state of Missouri with
respect to the income of the partnership/S corporation
until you notify the Department of a change in this elec-
tion; AND
(2) To be subject to personal jurisdiction in this state for the
purpose of the collection of income taxes, together with
related interest and penalties, imposed on you by this
state with respect to your distributive share of the income
of this partnership/S corporation.
This publication is available upon request in alternative accessible format(s).
MO 860-2764 (10-2010)
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