Missouri Form 4803 PDF Details

Are you a Missouri resident looking to learn more about Form 4803? Determining how liable you are for state income tax can be daunting and confusing, but luckily the process doesn’t have to be complicated. In this article, we explore the fundamentals of what Missouri Form 4803 is and why it is important for all residents in the “Show Me State” to understand this form as part of their annual taxation journey.

QuestionAnswer
Form NameMissouri Form 4803
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names4803 missouri department of revenue request for information form 4803

Form Preview Example

Form

Missouri Department of Revenue

4803

Request for Information

Requester

Owner

Driver’s Privacy Protection Act (DPPA) - To obtain the name and address on motor vehicle and marine titling and registration records, you must provide your DPPA access number in the box below. All previous owner information is restricted. If you do not have an access code, please submit a Request for Security Access Code (Form 4678). Form 4678 will inform you of who may receive a security access code.

Name of Individual or Organization

 

Requestor’s Name - Last, First, Middle Initial

 

 

 

 

 

Street Address, R.R., Or P.O. Box Number

 

City

 

State

ZIP Code

 

 

 

 

 

 

Fax Number

Telephone Number

DPPA Access Number

(__ __ __)__ __ __-__ __ __ __

(__ __ __)__ __ __-__ __ __ __

 

 

 

The owner’s address must be provided to obtain a list of motor vehicle or marine craft owned by this individual.

Name - Last, First, Middle Initial

 

 

 

 

 

 

 

Street Address, R.R., Or P.O. Box Number

City

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

Motor Vehicle

 

 

 

 

Year

Make

 

 

 

Title Number

 

1

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

 

 

Expiration Year

 

 

 

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

Year

Make

 

 

 

Title Number

 

2

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

 

 

Expiration Year

 

 

 

 

 

 

 

 

 

 

 

 

__ __ __ __

Marine Craft

 

 

 

Year

Make

Decal Number

Expiration Year

 

1

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

Decal Number

Expiration Year

 

2

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

__ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Identification Number

Additional Information

Requested Information

Payment Options

Please select below the type of information you want to receive. A brief explanation of information this office will provide follows each type of request.

rCurrent Owner (You must provide the license plate number or marine decal number or year, make, and identification number.) You will receive only the name and address of latest owner on file (subject to DPPA as noted above), in addition to the vehicle information and any lienholder of record.

rTitle History (You must provide the year, make and identification number.) You will receive a list that shows each time the ownership changed in this state. The list will include the owner’s name and address (subject to DPPA as noted above) and the title number, issue date, and mileage.

rMileage History (You must provide the year, make and identification number.) You will receive a list that shows each time the ownership changed in this state. The list will include the mileage, title number, and issue date.

rStatus of Title (Free only to current vehicle owner; however, you must provide a copy of your registration receipt you received when you applied for title.)

rName History (You must provide the owner’s name and address.) You will receive a list of the current vehicles registered in that owner’s name.

rCertified request for record information.

Please send the above record(s) by: r Mail r Fax (Add $0.50 per page faxed)

Records can be obtained by walk-in, mail-in, or e-mail request. The fee is $2.82 per record. A convenience fee will be charged for credit or debit card transactions.

 

 

Cash

Check

Money

Debit

Discover

 

Visa

American

Mastercard

 

Total Record Fees

Convenience Fee

 

 

Order

Card

 

Express

 

$0.00 - $50.00

$1.25

 

Central Office Visit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$50.01 - $75.00

$1.75

 

Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$75.01 - $100.00

$2.15

 

Fax or E-Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$100.01 or more

2.15%

If you are paying by credit or debit card you must provide the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (as it appears on card)

 

 

 

Card Type

 

 

Card Number

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

__ __ /__ __

Signature

I understand that Section 302.183.2, RSMo, (HB 361 effective August 28, 2009) prohibits the sale of data derived from a person’s application for commercial purposes, which includes purposes motivated primarily by financial gain such as, but not limited to, surveys, marketing or solicitations, without the express consent of the person to whom such information pertains. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds.

Requestor’s Signature

Printed Name of Requestor

 

Date (MM/DD/YYYY)

 

 

 

__ __ /__ __ /__ __ __ __

 

 

 

 

 

 

Form 4803 (Revised 07-2016)

Mail to: Motor Vehicle Bureau

Phone: (573) 526-3669

 

Record Center, P.O. Box 2048

Fax: (573) 751-7060

Visit http://dor.mo.gov/

Jefferson City, MO 65105-2048

E-mail: mvrecords@dor.mo.gov

for additional information.

How to Edit Missouri Form 4803 Online for Free

With the online editor for PDFs by FormsPal, you may fill in or alter Missouri Form 4803 here and now. In order to make our editor better and less complicated to use, we consistently come up with new features, with our users' feedback in mind. It merely requires several basic steps:

Step 1: First of all, open the pdf editor by clicking the "Get Form Button" above on this site.

Step 2: This tool helps you work with most PDF files in many different ways. Change it by adding your own text, correct original content, and include a signature - all within a couple of mouse clicks!

It is actually an easy task to fill out the document following this practical guide! This is what you need to do:

1. The Missouri Form 4803 needs specific details to be typed in. Be sure that the following blank fields are completed:

Completing segment 1 of Missouri Form 4803

2. The third step would be to complete all of the following blanks: Please select below the type of, changed in this state The list, applied for title, Please send the above records by r, Cash, Check, Money Order, Debit Card, Discover, Visa, American Express, Mastercard, Central Office Visit Mail, Fax or EMail, and If you are paying by credit or.

Step no. 2 for filling in Missouri Form 4803

3. This next portion is mostly about I understand that Section RSMo HB, Requestors Signature, Printed Name of Requestor, Date MMDDYYYY, Form Revised, e r u t a n g S, Mail to Motor Vehicle Bureau, Record Center PO Box Jefferson, Phone Fax Email, and Visit httpdormogov for additional - fill out each of these blanks.

Phone Fax Email, I understand that Section RSMo HB, and Mail to Motor Vehicle Bureau in Missouri Form 4803

As to Phone Fax Email and I understand that Section RSMo HB, ensure that you do everything properly in this section. Both of these could be the most important fields in the page.

Step 3: Prior to moving on, make certain that blanks have been filled out correctly. The moment you think it's all good, click on “Done." Right after getting afree trial account here, you will be able to download Missouri Form 4803 or send it via email right away. The PDF will also be readily accessible through your personal account menu with your edits. Here at FormsPal, we aim to ensure that all of your details are maintained private.

Missouri Form 4803 isn’t the one you’re looking for?

Related Documents