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Get MO DoR 2827 2012

Gent; 7. tax preparer; or 8. other authorized representative or agent and that I am authorized to represent the taxpayer(s) identified above for the tax matters there specified. Note: All appointed representatives must sign below. No digital signatures allowed NAME OF REPRESENTATIVE SIGNATURE OF REPRESENTATIVE DATE / / DESIGNATION (PLEASE CIRCLE APPROPRIATE NUMBER FROM LIST ABOVE) TITLE (IF APPLICABLE) 1. 2. 3. 4. 5. 6. 7. Reset Circles JURISDIC.

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