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Request For Termination 47 - Missouri
| Request For Termination Form. This is a Missouri form and can be used in Profit Corporation Secretary Of State . |
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State of Missouri D WE S T ITE D AN DIV Jason Kander, Secretary of State X ESTO LE ED WE FA ID E PLURIB M UNU SALUS PO MDC PUL I SUPREM CCXX The undersigned corporation, for the purpose of termination, hereby executes the following Request for Termination. Article 1. Name of Corporation is Article 2. On month/day/year Article 3. The corporation has disposed of all claims against it or filed against it pursuant to 351.478 and 351.482. Article 4. All the remaining assets have been distributed among the corporation's shareholders, in accordance with their respective rights and interests. Article 5. The effective date of this document is the date it is filed by the Secretary of State of Missouri unless a future date is otherwise indicated: (Date may not be more than 90 days after the filing date in this office.) In Affirmation thereof, the facts stated above are true and correct. (The undersigned understands that false statements made in this filing are subject to the penalties provided under Section 575.040, RSMo) Authorized Signature Name and address to return filed document: Name: Address: City, State, and Zip Code: Corp. 47 (09/2010) American LegalNet, Inc. www.FormsWorkFlow.com LL US A Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO 65102 UN Request for Termination (Submit with filing fee of $25.00 and Certificate of Tax Clearance issued by the Missouri Department of Revenue) Charter #: , the corporation filed Articles of Dissolution with the Secretary of State. Printed Name Title Date MISSOURI DEPARTMENT OF REVENUE REQUEST FOR TAX CLEARANCE Phone: (573) 751-9268 Fax: (573) 522-1160 E-mail: taxclearance@dor.mo.gov COMPLETE FORM IN ITS ENTIRETY TO OBTAIN A TAX CLEARANCE FORM 943 (REV. 10-2006) CHARTER NUMBER/CERTIFICATE OF AUTHORITY NUMBER MO TAX IDENTIFICATION NUMBER OR EXEMPTION NUMBER FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) 1. Does this business have Missouri employees for which they are required to withhold Missouri taxes? YES NO 2. Do you pay contributions to the Division of Employment Security? YES NO If yes, what is that account number? ______________ TYPE OF OWNERSHIP CORPORATION If there has been a change in the ownership of your business, you may need to contact Business Tax Registration at (573) 751-5860 to ensure your account is properly registered. SOLE PROPRIETORSHIP PARTNERSHIP LIMITED LIABILITY COMPANY -- How are you taxed? (check one) As a corporation As a sole owner As a partnership MAILING ADDRESS OF BUSINESS (NOTE: This is where the correspondence will be mailed, if the Authorization for Release of Confidential Information Section below is not completed.) NAME OF BUSINESS OR CORPORATION DOING BUSINESS AS NAME (DBA) BUSINESS MAILING ADDRESS CITY, STATE, ZIP CODE CONTACT PERSON CONTACT PHONE NUMBER REASON FOR REQUEST (Check all that apply) 1. I am completing the following transaction with the Missouri Secretary of State's Office. Please check the appropriate box(es). Reinstatement Withdrawal/Termination Merger -- Date of Merger ________________________________________ All tax types and the account with the Division of Employment Security will be reviewed and must be filed and paid in full. 2. I am completing the following transaction: Please check the appropriate box(es). Selling Business Assets Financial Closing MBE/WBE Missouri Quality Jobs Other ___________________ All tax types and the account with the Division of Employment Security will be reviewed and must be filed and paid in full. 3. I require a sales/use tax Certificate of No Tax Due for the following: Please check the appropriate box(es). Business License Liquor License Other (if not listed) ____________________________________________________ 4. I require a sales/use tax Vendor No Tax Due to obtain or renew a contract with the State of Missouri. Please provide the contact person and phone number where they can be reached. Name: _______________________________________________________ Phone: ________________________________ CORPORATIONS If there has been a name change for this corporation, please provide the prior name. _______________________________________________________________________________________________ This corporation files consolidated corporation income tax returns in Missouri. a. The parent corporation's FEIN that these returns are being filed under is: ____________________________________ b. The Missouri Tax Identification Number of the parent corporation is: ________________________________________ Missouri corporation franchise tax returns cannot be filed consolidated and must be filed by each corporation. SOLE PROPRIETORSHIPS YOUR SOCIAL SECURITY NUMBER SPOUSE'S SOCIAL SECURITY NUMBER If individual income tax returns have previously been filed in another state, please provide a list of the states and years filed. Authorization for Release of Confidential Information: All correspondence will be released to the person authorized below. Release of this information to a third party (such as an accountant) at the request of the taxpayer does not give the third party authority to request further information from the department. To obtain additional information or to represent the taxpayer before the department, the taxpayer must execute a Power of Attorney designating the third party as its representative. NAME OF PERSON AUTHORIZED TO RECEIVE THIS INFORMATION TITLE PHONE NUMBER ADDRESS CITY, STATE, ZIP CODE SIGNATURE OF OWNER, PARTNER, OR CORPORATE OFFICER Under penalties of perjury I declare that the above information is true and complete. SIGNATURE OF OWNER/OFFICER TITLE TELEPHONE NUMBER PLEASE MAIL THE COMPLETED FORM TO: MISSOURI DEPARTMENT OF REVENUE, TAX CLEARANCE, P.O. BOX 3666, JEFFERSON CITY, MO 65105-3666 OR IT MAY BE FAXED TO: (573) 522-1160. If this form is faxed, the original is not required. MO 860-0912 (10-2006) For Privacy Notice, see the instructions. American LegalNet, Inc. www.FormsWorkFlow.com Frequently Asked Questions 1. What if I don't know my Missouri tax identification number? . The Missouri tax identification number is assigned by the Missouri Department of Revenue at the time you register for the reporting of sales/use, withholding, corporation income or corporation franchise tax. If you have not registered your business or need to check on the status of a registration, please contact Business Tax Registration at (573) 751-5860. 2. What is my federal employer identification number? . The Internal Revenue Service issues you
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