The Missouri 8821 form is an authorization document that allows individuals or businesses to request the release of their confidential tax records from the Missouri Department of Revenue. This form is essential for those needing access to specific tax information, such as corporate income tax or sales tax records. To get started on your request, fill out the form by clicking the button below.
The Missouri 8821 form, officially known as the Authorization for Release of Confidential Information, plays a crucial role in managing tax-related communications between taxpayers and the Missouri Department of Revenue. This form allows individuals or businesses to authorize the release of their confidential tax records to designated agents or themselves. It covers various types of tax records, including corporate income and franchise tax, sales or use tax, employer withholding tax, motor fuel tax, individual income tax, and financial institution tax. Taxpayers can specify the period for which the records are requested and choose how they want to receive the information—either directly or through an authorized agent. Additionally, the form requires the signature of an authorized individual, ensuring that the request is legitimate. It also includes provisions regarding potential costs associated with obtaining these records, such as photocopying fees. By completing and submitting the Missouri 8821 form, taxpayers can facilitate the process of accessing their tax information while adhering to the necessary legal protocols.
Missouri Department of Revenue
Form
Authorization For Release of
8821
Confidential Information
Missouri Tax I.D.
Number
Department Use Only (MM/DD/YY)
Social Security
I,
, authorize and request the Missouri Department of Revenue, to release confidential tax
records pertaining to
for the tax reporting period(s):
.
Type of Record(s)
Agent AuthorizationAvailability
r Corporate Income and Franchise Tax
r Sales or Use Tax
r Employer Withholding Tax
r Motor Fuel Tax
r Individual Income Tax
r Financial Institution Tax
(List Social Security Number under Missouri Tax ID Number)
rOther _________________________________________________________________________________________
The record should be:
rPhotocopied and copies forwarded to me at: Street: ____________________________________________________
City, State, Zip: ____________________________________________________
rPhotocopied and copies forwarded to the agent specified below.
I specifically authorize the following agent to examine the above identified confidential tax records.
Name
Title
Social Security Number
|
Street Address
City
State
Zip Code
Telephone Number
E-mail Address
(___ ___ ___)___ ___ ___-___ ___ ___ ___
(Complete this section if requesting confidential tax records for a business, corporation, s corporation, or partnership)
I am authorized to sign this document as an officer, partner, or owner of the corporation or business. This authorization shall be effective this date and shall expire on __________________________________________, or until terminated by the undersigned.
For sales tax records only — The Director of Revenue may charge not more than $50 per day for use of facilities within the division or charge not more than one dollar per page for photocopies of confidential records to defray costs incurred.
Signature
Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. If prepared by a person other than the owner, this declaration is based on all information of which he or she has any knowledge. The Director of Revenue and department personnel, are hereby released from any and all liability pursuant to unauthorized disclosures of confidential tax information resulting from release of information under Section 32.057, RSMo or any other applicable confidentiality statute.
Signature of Owner, Officer, Partner, or Individual
Date (MM/DD/YYYY)
__ __ /__ __ /__ __ __ __
Printed Name
Send Completed Form To (Tax type selected above will determine appropriate mailing address):
Form 8821 (Revised 12-2014)
Corporate Income and Franchise Tax
Individual Income Tax
All Other Taxes
Business Tax
Personal Tax
Support Services
P.O. Box 3365
P.O. Box 2200
P.O. Box 3022
Jefferson City, MO 65105-3365
Jefferson City, MO 65105-2200
Jefferson City, MO 65105-3022
14311010001
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