Fillable Printable Registration or Exemption Change Request - Missouri

Registration or Exemption Change Request - Missouri

This form can be used to make changes to your sales and use, employer withholding, corporate income or franchise tax, or exemption registration

records. Only complete the section(s) that apply to the changes you wish to make.

Form 126 (Revised 12-2014)

Close the following business location for:

Consumer’s Use Tax

Employer Withholding Tax

Sales Tax

Vendor’s Use Tax

Business Name Address

City State

Zip Code County Date of Closing (MM/DD/YYYY)

Close Location

__ __ / __ __ / __ __ __ __

Select one r I am updating my business tax account r I am updating my sales and use exemption account

( ___ ___ ___ ) ___ ___ ___ - ___ ___ ___ ___

Name Currently On File Phone Number

Address Currently On File City State Zip Code

Mailing Address

Change For:

All Tax Types

Corporate Income and Franchise Tax

Employer Withholding Tax

Sales and Use Tax

In Care Of (Optional) Company Name if different from owner

Address City State Zip Code County

Also, if your organization is incorporated, your name must be changed with the Missouri Secretary of State’s Office before your account can be updated).

Change Business Name (Doing Business As) To

Change Owner or Organization Street Address To

City State Zip Code County

Name and Address

All information is required if completing the Officers, Partners, or Members Section. Attach a list if needed.

Business Tax Accounts: Adding persons indicates they have direct supervision or control over tax matters. If adding or deleting partners from a partnership

account, all partners must sign this form including the partner being deleted or added. If deleting partners and only one partner remains, you must close

your partnership account and complete Form 2643 to apply for a new sole owner account. Sales and Use Exemption Accounts: Only officers of the

Title Begin or End Date (MM/DD/YYYY) Name (Last, First, Middle Initial)

Title Social Security Number FEIN

Birthdate (MM/DD/YYYY) Home Address

City State Zip Code County

| | | | | | | |

Add

Remove

__ __ / __ __ / __ __ __ __

| | | | | | | |

Title Begin or End Date (MM/DD/YYYY) Name (Last, First, Middle Initial)

Title Social Security Number FEIN

Birthdate (MM/DD/YYYY) Home Address

City State Zip Code County

| | | | | | | |

Add

Remove

__ __ / __ __ / __ __ __ __

| | | | | | | |

Officers, partners, or Members

Missouri Department of Revenue

Registration or Exemption Change Request

*14600010001*

14600010001

Department Use Only

(MM/DD/YY)

Missouri Tax I.D.

Number

Federal Employer

I.D. Number

Form

126

Change Owner Name To: (If there has been a change in ownership, a Missouri Tax Registration Application (Form 2643) must be completed in lieu of this form.

organization can be added to your account. All other persons must obtain a Missouri Power of Attorney (Form 2827).

Change the corporation taxable year end to:

(MM/DD) __ __ / __ __

I would like to change from a transient employer to a regular employer.

(Must have filed 24 consecutive months in Missouri)

Change* Withholding Tax Filing Frequency To:

Monthly ($500 or more per month in tax)

Quarterly (Less than $500 per month in tax)

Annually (Less than $45 per quarter in tax)

Quarter-Monthly (Over $9,000 per month in tax)

Withholding Tax

Corporate Income Tax

*Continue current filing

until this change is verified

by the Department.

Registration Change

Mail to: Taxation Division Phone: (573) 751-5860

P.O. Box 3300 TTY: (800) 735-2966

Jefferson City, MO 65105-3300 Fax: (573) 522-1722

Signature Printed Name

Title Date (MM/DD/YYYY)

Signature

___ ___ / ___ ___ / ___ ___ ___ ___

Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. This form must be signed by the owner, if

the business is a sole ownership; partner, if the business is a partnership; reported officer, if the business is a corporation, or by a member, if the business is an L.L.C.

as reported on the application.

Page 2

Yes - Specify the city:

Is this business located inside a district(s)? For example, ambulance, fire, tourism, community, or transportation development.

Yes - Specify the district name(s):

Change Sales and Use Tax Filing Frequency To:

Monthly ($500 or more per month in tax)

Quarterly (Less than $500 per month in tax)

Annually (Less than $100 per quarter in sales tax) *Continue current filing until this change is verified by the Department.

Do you make retail sales of the following items? Select all that apply.

Alcoholic Beverages

Alternative Nicotine

Cigarettes or Other Tobacco Products

Domestic Utilities

E-Cigarettes or Vapor Products

Food Subject to Reduced State Food Tax Rate

Items Qualifying for Show Me Green Sales Tax Holiday

r Items Qualifying for Back-To-School Sales Tax Holiday r Lead-Acid Batteries r Lease or Rent Motor Vehicles

New Tires

Post-Secondary Educational Textbooks

Telecommunication Services

Qualifying Utilities or Items Used or Consumed in Manufacturing or Mining, Research and Development, or Processing Recovered Materials.

Do you make retail sales of aviation jet fuel to Missouri customers? ..............................................................................................

Yes

If yes, are your sales made at: r A Missouri airport r A location outside Missouri and the fuel is transported into Missouri?

If yes, is the airport located in Missouri and identified on the National Plan of Integrated Airport Systems (NPIAS)? .....................

Yes

If yes, provide a list of applicable locations. ________________________________________________________________________________

Do you use, store, or consume aviation jet fuel in Missouri where the seller does not collect tax? .................................................

Yes

If yes, is the fuel stored, used, or consumed in an airport that is identified on the NPIAS? ............................................................

Yes

If yes, provide a list of applicable locations: ________________________________________________________________________________

Sales and Use Tax

Comments

Exemption Change

Mail to: Taxation Division Phone: (573) 751-2836

P.O. Box 358 TTY: (800) 735-2966

Jefferson City, MO 65105-0358 Fax: (573) 751-9409

Open the following new business location for: r Consumer’s Use Tax r

Employer Withholding Tax r Sales Tax r Vendor’s Use Tax

Business Name Taxable Sales Begin Date (MM/DD/YYYY

Street or Highway Address (Do not use Rural Route or PO Box)

City State Zip Code County

___ ___ / ___ ___ / ___ ___ ___ ___

Open Location

Form 126 (Revised 12-2014)

*14600020001*

14600020001

Is this business located inside the city limits of any city or municipality in Missouri? For help determining this visit https://dors.mo.gov/tax/strgis/index.jsp.

E-mail: businesstaxregiste[email protected]

E-mail: salestaxexemptions@dor.mo.gov