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Missouri Free Printable Form MO W-4C Withholding Affidavit for Missouri Residents for 2024 Missouri Withholding Affidavit For Missouri Residents

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Withholding Affidavit For Missouri Residents
Form MO W-4C Withholding Affidavit for Missouri Residents

Reset Form Form MO W-4C Print Form Missouri Department of Revenue Withholding Affidavit For Missouri Residents This form is to be completed by a Missouri resident employed in a foreign state. Employee Employer Employer: Please retain this Form MO W-4C for your records. Do not send a copy to the Department of Revenue unless requested to do so. Name Missouri Tax Identification Number | Street Address City Name Street Address | State | | | | | | | | ZIP Code Social Security Number City | State | | | | ZIP Code I realize that a Missouri resident is required to file an individual income tax return with the Missouri Department of Revenue by April 15 of each year and report income from all sources. For withholding purposes however; 1. 100% of services for this employer are performed in the state of ____________________________ and income taxes are being withheld by this employer for that state. I will attach to my Missouri individual income tax return, a copy of the return I file with that state. Based on this sworn information, I hereby request no Missouri income tax be withheld from my wages. Signature 2. _______ % of services for this employer are performed in the state of Missouri and are subject to Missouri withholding tax. Based on this sworn information, I hereby request that Missouri tax be withheld on this pro rata share. Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. I am a Missouri resident and an employee of the employer listed above. Signature Title Printed Name Date (MM/DD/YYYY) __ __ /__ __ /__ __ __ __ Form MO W-4C (Revised 11-2013) Mail to: Taxation Division P.O. Box 999 Jefferson City, MO 65108-0999 Phone: (573) 751-8750 TDD: (800) 735-2966 Visit http://www.dor.mo.gov/business/withhold Fax: (573) 522-6816 for additional information.
Extracted from PDF file 2023-missouri-form-mo-w-4c.pdf, last modified October 2013

More about the Missouri Form MO W-4C Individual Income Tax TY 2023

This form is to be completed by a Missouri resident employed in a foreign state.

We last updated the Withholding Affidavit For Missouri Residents in February 2024, so this is the latest version of Form MO W-4C, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form MO W-4C directly from TaxFormFinder. You can print other Missouri tax forms here.

Related Missouri Individual Income Tax Forms:

TaxFormFinder has an additional 61 Missouri income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Missouri Form MO W-4C.

Form Code Form Name
Form MO W-4 Employee’s Withholding Certificate
Form MO W-4P Withholding Certificate for Pension or Annuity Statements
Form MO W-4A Certificate of Nonresidence or Allocation of Withholding Tax

Download all MO tax forms View all 62 Missouri Income Tax Forms


Form Sources:

Missouri usually releases forms for the current tax year between January and April. We last updated Missouri Form MO W-4C from the Department of Revenue in February 2024.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Missouri Form MO W-4C

We have a total of three past-year versions of Form MO W-4C in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form MO W-4C

Form MO W-4C Withholding Affidavit for Missouri Residents

2022 Form MO W-4C

Form MO W-4C Withholding Affidavit for Missouri Residents

2021 Form MO W-4C

Form MO W-4C Withholding Affidavit for Missouri Residents


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