Follow the steps to successfully fill out the MO Form MO 780-0936 online.

1. Press the ‘Get Form’ button to access the form. This will open it in your preferred online editor.
2. Begin by entering the full name of the person or organization requesting the permit in the designated area for 'Name of Permittee'. Ensure accuracy to avoid issues.
3. Provide the complete mailing address of the permittee in the specified field. This helps in receiving communications regarding the permit.
4. List the penal sum of the bond in the field labeled 'Dollars'. This represents the secured amount associated with the Certificate of Deposit.
5. Fill in the Certificate of Deposit details, including the certificate number, issuing bank information, and the corresponding phone numbers and addresses for each certificate listed.
6. Indicate the issuance dates and amounts for each Certificate of Deposit clearly in their respective fields.
7. Ensure you read and understand the conditions stated in the form. This includes compliance with state mining regulations and the reclamation responsibilities outlined.
8. Sign the document where indicated as the Obligor. Your signature must be notarized, confirming the validity of your submission.
9. If there are additional individuals listed on the Certificates of Deposit, ensure their signatures are acquired and notarized as well.
10. After completing all sections, save your changes, and choose to download or print the form for submission.

Complete and submit your MO Form MO 780-0936 online today to ensure compliance with Missouri's mining regulations.