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Missouri Title Correction Form: What You Should Know

Do not sign on the line to notify the Department of Revenue unless the Department requires you to do so. 3.  If there is an entry in the itemized list in this section, enter the date  3A. That the item was listed and what the date is. 3B. If the amount listed was greater than the total of All the fees listed, 4. Enter the amount. No need to include the dollar amount. 5. Enter a statement of the date the item was added to the list. Note: For itemized lists, we recommend that you write on the itemized list which name was associated with the particular item, if you know it, and enter that name on line 10. Note: If a fee has been assessed for a violation as well as the item, 6. Enter the date this item was added in the table below. 7. Enter the number of days this item was on the itemized list. There is a maximum of 7 days for itemized lists. 8. Enter the amount or percentage of fee that was assessed 9. Enter the number of days this item was on the itemized list. There is a maximum of 7 days for itemized lists. 10. Enter the date this item was added in the table below. 11. Do not enter a value for the fee you assigned. Do not enter a fee over 3,000.00. 12. If we asked you to pay the fee or payment, enter the amount; the date; and the name of the person who did so for each fee assignment. 13. If you did not assign any of the fees. Enter a statement that the fee was assigned to you. Note: If you assigned a fee, please enter that fee in the appropriate column, and you should see the date of the payment, or you should see the “paid/assigned” on the check. Note: If a total of 100% of the listed fees are assigned to you, you are required to enter the amount of 100% assigned to you in the correct column. Note: Do not enter any values below 3,000.00. For additional information about Missouri title correction, contact the Missouri Department of Revenue in Jefferson City at.

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