Form Mo-1040 - Booklet Missouri Individual Income Tax Long Form - 2011 Page 44
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44MISSOURI DEPARTMENT OF REVENUE
PRSRT STD
JEFFERSON CITY, MO 65105-2200
U.S. POSTAGE
PAID
Missouri Dept.
Please place this label
of Revenue
in the address area
of your return.
Do not use this
label if it is incorrect.
Missouri Department of Revenue Tax Assistance Centers
Public Office Hours are 8:00 a.m. to 5:00 p.m. Monday through Friday
Individuals with speech or hearing impairments may use TDD (800) 735-2966 or fax (573) 526-1881.
Other Important Phone Numbers
Cape Girardeau
3102 Blattner Dr., Suite 102
(573) 290-5850
General Inquiry Line
(573) 751-3505
Jefferson City
301 West High St., Room 330
(573) 751-7191
Automated Refund/Balance Due/
1099G Inquiry
(573) 526-8299
Joplin
1110 East 7th St., Suite 400
(417) 629-3070
Electronic Filing Information
(573) 751-3930
Kansas City
615 East 13th St., Room B-2
(816) 889-2944
Download forms or check the status
Springfield
of your return on our web site:
149 Park Central Square, Room 313 (417) 895-6474
St. Louis
3256 Laclede Station Rd., Suite 101 (314) 877-0177
You can obtain a copy of the Taxpayer Bill of Rights
on our web site at
St. Joseph
525 Jules, Room 314
(816) 387-2230
Federal Privacy Notice
Diagram 1: Form W-2
The Federal Privacy Act requires the Missouri Department of Revenue
(Department) to inform taxpayers of the Department’s legal authority
for requesting identifying information, including social security
numbers, and to explain why the information is needed and how the
information will be used.
Chapter 143 of the Missouri Revised Statutes authorizes the Department
to request information necessary to carry out the tax laws of the state
of Missouri. Federal law 42 U.S.C. Section 405 (c)(2)(C) authorizes the
states to require taxpayers to provide social security numbers.
The Department uses your social security number to identify you
and process your tax returns and other documents, to determine
and collect the correct amount of tax, to ensure you are complying
with the tax laws, and to exchange tax information with the Internal
Revenue Service, other states, and the Multistate Tax Commission
(Chapters 32 and 143, RSMo). In addition, statutorily provided non-tax
uses are: (1) to provide information to the Department of Higher
Education with respect to applicants for financial assistance under
Chapter 173, RSMo and (2) to offset refunds against amounts due to
a state agency by a person or entity (Chapter 143, RSMo). Information
furnished to other agencies or persons shall be used solely for the
Missouri Taxes Withheld
purpose of administering tax laws or the specific laws administered by
Earnings Tax
the person having the statutory right to obtain it [as indicated above].
In addition, information may be disclosed to the public regarding the
name of a tax credit recipient and the amount issued to such recipient
(Chapter 135, RSMo). (For the Department’s authority to prescribe
forms and to require furnishing of social security numbers, see
Chapters 135, 143, and 144, RSMo).
You are required to provide your social security number on your tax
2011
return. Failure to provide your social security number or providing a
false social security number may result in criminal action against you.
44
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