Form Mo-3nr Draft - Partnership Or S Corporation Withholding Exemption Or Revocation Agreement - 2016 Page 2

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Form MO-3NR Instructions
Partnership or S Corporation Withholding Exemption or Revocation Agreement
The Form MO-3NR is used to initiate an agreement between
Part 3
the nonresident partner or S corporation shareholder and the
Withholding Tax Exemption Revocation
Missouri Department of Revenue (Department) for an election of
(Completed by the taxpayer electing to revoke the
exempt status from Missouri income tax withholding on Missouri
exempt status)
distributive share item(s) of partnership or S corporation income.
Additionally, the Form MO-3NR can be used to revoke a previous
Enter your name, social security number, and address in the
election of exempt withholding status.
spaces provided. By revoking your exemption status, the
partnership or S corporation is required to withhold Missouri
Note: If you are electing to revoke your withholding exemption
income taxes on your Missouri distributive share item(s) and to
status please check the box at the top of the form and complete
remit this withholding tax on your behalf. The revocation will
Parts 1, 3, and 4 only.
remain in effect until you elect to change your exempt status by
filing a new Form MO-3NR.
Part 1
Name and Address
Part 4
(Completed by the partnership or S corporation)
Signature
Select partnership or S corporation in the spaces provided, enter
You must sign and date your agreement. Please include a
the partnership or S corporation federal identification number,
daytime telephone number where you may be reached in case
Missouri identification number, name, address and e-mail
the Department has questions regarding your agreement.
address.
When to File
Part 2
Withholding Tax Exemption
This agreement will be considered timely filed for a taxable year,
(Completed by the taxpayer electing exemption from
and for all subsequent taxable years, if it is filed at or before the
time the annual return for such taxable year is required to be
withholding)
filed, without regard to extension of time to file.
Enter your name, social security number, and address in the
Where to File
spaces provided. By requesting an exemption from Missouri
withholding on your Missouri distributive share item(s) you are
Mail the completed Form MO-3NR(s) to the address at the
also agreeing to the following:
bottom of the form.
(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 or 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 or S corporation.
Form MO-3NR (Revised 12-2016)
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