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MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONSPOWER OF ATTORNEY I. Business/Taxpayer Name AddressCityStateZIP CodePhone NumberFEINUI Tax NumberName of Appointed Representative (Business Name)FEINPhone.

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How to fill out the MO Form MODES-4444 online

The MO Form MODES-4444 is a power of attorney document that allows a taxpayer to appoint a representative for unemployment insurance matters. This guide will provide you with clear, step-by-step instructions on how to fill out this form online, ensuring that all necessary information is accurately provided.

Follow the steps to complete the MO Form MODES-4444 online.

  1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
  2. In the first section labeled 'Business/Taxpayer', enter the name, address, city, state, ZIP code, phone number, FEIN, and UI tax number for the business or taxpayer.
  3. In the same section, provide the name of the appointed representative, along with their FEIN, phone number, address, city, state, and ZIP code.
  4. Proceed to section II, specifying which matters the appointed attorney-in-fact will represent the taxpayer for by checking the relevant boxes (UI tax matters, UI claim matters, or for information only).
  5. If applicable, indicate if there are multiple power of attorneys by checking the corresponding box.
  6. In section III, the business representative or taxpayer should include their printed name, title, signature, and date.
  7. In section IV, the appointed representative must also provide their printed name, title, signature, and date.
  8. Finally, review all entries for accuracy, then save changes, and proceed to download, print, or share the completed form as needed.

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