Fillable Printable Letter Of Intent For Substitute Tax Forms (Form 4349)

Letter Of Intent For Substitute Tax Forms (Form 4349)

Form 4349 (Revised 08-2017)

The Department prescribes the format of tax returns, schedules, statements, and declarations as provided in Section 143.971, RSMo.

Guidelines have been established for substitute and reproduced tax forms for developers of computer software, computer tax processors,

computer programmers, commercial printers, business forms companies, and others who plan to market or distribute substitute tax forms

in any manner. These guidelines are at http://dor.mo.gov/vendors/.

Applicant’s Certification:

I hereby certify that I am a duly-appointed representative of the company listed above and that we will comply with the policies,

procedures, and guidelines published by the Department concerning the development and reproduction of substitute tax forms that are

produced in any way by products sold or offered by this company.

I agree that this company will:

1. Develop substitute tax forms or products that produce tax forms in accordance with the guidelines issued by the Department;

2. Submit substitute tax forms to the Department for review and written approval before releasing any substitute tax forms or any

products that produce such forms to customers or clients;

3. Promptly correct errors in the company’s products and substitute tax forms and provide the Department with proofs (as described

in the Department’s Guidelines) showing that the company has corrected the errors and notified customers or clients of the

corrections;

4. Identify all substitute tax forms by the 4-digit vendor ID code shown above.

Failure to follow the guidelines may result in completed tax forms being rejected by the Department.

Company or Individual’s Name Identification Code (Alpha Char.)

Company Representative or Manager Phone Number Vendor ID Code (4-Digit Number)

Fax Number E-mail Address

Product Name Are you a secondary software What company is supplying the forms to you?

company for substitute forms? (primary software company)

Street Address

City State Zip Code

Technical Support Phone Number Customer Services Phone Number

r Yes r No

Form

4349

Missouri Department of Revenue

Letter of Intent for Substitute Tax Forms

Submit Electronically To: [email protected]

Forms Group Contact Information: 301 West High St Room 225 Phone: (573) 751-5714

Jefferson City, MO 65101 Fax: (573) 522-4876

Signature (Required) Title

Date (MM/DD/YYYY)

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Sign

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Effective August 1, 2015, the Letter of Intent for Substitute Forms is only required to be led once with the Department of Revenue. A

revised form will no longer be required on an annual basis. However, in the event any information provided on this form changes, you will

be responsible for submitting a new Letter of Intent for Substitute Forms. The Department may also request a revised form if necessary.

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