Get Form 5433 Missouri
I authorize the Missouri Department of Revenue to amend my sales or use tax returns as a result of any refund granted. I am authorized to execute this assignment on behalf of the seller. Signature Title Printed Name Date MM/DD/YYYY / / Notary Information Embosser or black ink rubber stamp seal Subscribed and sworn before me this day of year County or City of St. Louis My Commission Expires MM/DD/YYYY Notary Public Signature Notary Public Name T.
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