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CORPORATION PART 2 WITHHOLDING TAX EXEMPTION TAXPAYER NAME SOCIAL SECURITY NUMBER STREET ADDRESS, CITY, STATE, AND ZIP CODE I, , as a partner/shareholder of the above named partnership/S corporation, request to be exempt from Missouri income tax withholding on my Missouri distributive share item(s) received through this partnership/S corporation for the tax year , and all subsequent tax years, until I notify the Department of a change i.

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