This application is only for individuals in the military who are stationed in Missouri
or have a Missouri home of record and are not required to file a Missouri income
tax return. By submitting this document, you are notifying the Missouri Department
of Revenue (Department) that you are not required to file a Missouri income tax
If you received a notice from the Missouri Department of Revenue requesting you file a Missouri return, this application cannot be used. The confirmation received does not confirm your filing has been accepted.
If you had Missouri tax withholdings and want to claim a request for refund, you
must complete a Missouri tax return. Submitting this online form does not constitute
a valid request for refund.
Enter the requested information into the fields below if you (and your spouse, if
filing a combined federal return) are not required to file a Missouri return for
a particular tax year. If you are uncertain if a Missouri return should be filed,
please visit our website at http://dor.mo.gov/military/
for more information. This application is available for tax years 2007 and forward.
Once the required information (notated by an asterisk) is entered and the document
is signed, click on the "Submit" button at the bottom of the page.
An asterisk (*) indicates a required field.
All information you submit on this form is confidential and will be transmitted
to the department by a secure process to ensure your information remains protected.
* Social Security Number:
* Last Name:
* First Name:
Social Security Number:
In Care of:
* Street Address:
District of Columbia
Out of the Country
Note: The above address information will not update existing information at the
Missouri Department of Revenue (department). To change your address with the department,
please refer to http://dor.mo.gov/howdoi/addchange.htm.
* Please Select the appropriate Tax Year:
Missouri Home of Record
I did not at any time during the above referenced tax year maintain a permanent
residence in Missouri nor did I spend more than 30 days in Missouri during the year.
I did maintain a place of abode in the state/country of
Non-Missouri Home of Record
I resided in Missouri during the above referenced tax year
solely because I was stationed at
on military orders.
My home of record is the state/country of
Enter a signature that matches the name of one of the individuals above. By signing
this document, you are declaring under penalties of perjury that this document is
true, accurate, and complete.