Form 1746r - Sales Or Use Tax Exemption Renewal Application

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Missouri Department of Revenue
Form
1746R
Sales or Use Tax Exemption Renewal Application
Missouri Tax Identification Number
Federal Employer Identification Number
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To complete your application to renew your sales or use tax exemption you must:
• Fully complete and submit Form 1746R.
• Attach a complete financial history for the last three years (or number of years in existence if less than three)
indicating sources and amounts of income and a breakdown of expenditures.
• Provide a written description of the organization’s civic or charitable activities. Please be specific and provide
examples.
Organization Name
Street Address - Do not use P.O. Box or Rural Route
Phone Number
(___ ___ ___)___ ___ ___-___ ___ ___ ___
City
State
Zip Code
County
Website Address
E-mail Address
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Does your organization own property in Missouri?
Yes
No
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Is your organization exempt from property tax?
Yes
No
Date organization originated
___ ___ / ___ ___ / ___ ___ ___ ___
(MM/DD/YYYY):
Missouri Charter Number
Date Incorporated
(MM/DD/YYYY)
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Missouri Corporation
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Missouri Certificate of Authority Number
Date Registered in Missouri
State of Incorporation
(MM/DD/YYYY)
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Out-of-State Corporation
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Mailing Address (If different than Organization Address)
Street Address or P.O. Box
City
State
Zip Code
County
Name (Last, First, Middle Initial)
Title
Social Security Number
Birthdate
(MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
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Street Address
City
State
Zip Code
Name (Last, First, Middle Initial)
Title
Social Security Number
Birthdate
(MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
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Street Address
City
State
Zip Code
Form 1746R (Revised 11-2013)

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