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                                                                                                         Department Use Only
                                 Form                                                                    (MM/DD/YY)
                                            Registration or Exemption Change Request
                                126

Missouri Tax I.D.                                                                            Federal Employer
Number                                                                                       I.D. Number

 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

 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.

                                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. 
                                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
 Name and Address               City                                           State                 ZIP Code                            County

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

                                                       Title Begin or End Date (MM/DD/YYYY)  Name (Last, First, Middle Initial)
                                   r Add  r Remove     __ __ / __ __ / __ __ __ __
                                Title                                     Social Security Number                       FEIN
                                                                                  |        |        |        |        |        |        |        |               |        |        |        |        |        |        |        |        
                                Birthdate (MM/DD/YYYY)     Home Address                                                                              
                                __ __ / __ __ / __ __ __ __
                                City                                           State                 ZIP Code                                       County

                                   r Add  r 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
                                __ __ / __ __ / __ __ __ __
 Officers, partners, or Members City                                           State                 ZIP Code                                       County

                                   r Add  r 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

                                                                       *15600010001*
                                                                                     15600010001

Page 2
All information is required if completing the Authorized Representatives Section.  Attach a list if needed.
Business Tax Accounts:  Identify all persons who are not a partner, member (L.L.C), or officer of the business that have direct supervision or 
control over tax matters whom you authorize the Department to discuss your tax matters.  All other persons must obtain a Missouri Power of 
Attorney (Form 2827).  Attach a list if needed.

   r Add  r Remove Title Begin or End Date (MM/DD/YYYY)  Name (Last, First, Middle Initial)
__ __ / __ __ / __ __ __ __
Title   Social Security Number Birthdate (MM/DD/YYYY)
      |        |        |        |        |        |        |        |        __ __ / __ __ / __ __ __ __
Home Address

City       State ZIP Code  County

   r Add  r Remove Title Begin or End Date (MM/DD/YYYY)  Name (Last, First, Middle Initial)
__ __ / __ __ / __ __ __ __
Title   Social Security Number Birthdate (MM/DD/YYYY)
      |        |        |        |        |        |        |        |        __ __ / __ __ / __ __ __ __
Home Address

Authorized Representatives City       State ZIP Code  County

   r Add  r Remove Title Begin or End Date (MM/DD/YYYY)  Name (Last, First, Middle Initial)
__ __ / __ __ / __ __ __ __
Title   Social Security Number Birthdate (MM/DD/YYYY)
      |        |        |        |        |        |        |        |        __ __ / __ __ / __ __ __ __
Home Address

City       State ZIP Code  County

Change For:  r All Tax Types  r Corporate Income and Franchise Tax  r Employer Withholding Tax  r Sales and Use Tax
In Care Of (Optional) Company Name if different from owner 

Address   City State ZIP Code County
Mailing Address

Close the following business location for:   r Consumer’s Use Tax   r Employer Withholding Tax   r Sales Tax   r Vendor’s Use Tax 
Business Name Address

City State

Close Location ZIP Code County Date of Closing (MM/DD/YYYY)
__ __ / __ __ / __ __ __ __

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)
Open Location City   State ZIP Code  County

*15600020001*
15600020001

                                                                                                                                                                                                                 Page 3
                                    Is this business located inside the city limits of any city or municipality in Missouri?  For help determining this visit  
                                    mytax.mo.gov/rptp/portal/home/business/salesUseTaxRateInformation      r No                       r Yes - Specify the city:
                                    Is this business located inside a district(s)?  For example, ambulance, fire, tourism, community, or transportation development.
                                    r No  r Yes - Specify the district name(s):
                                    Change Sales and Use Tax Filing Frequency To:    r Monthly (Over $500 a month)     r Quarterly ($500 or less a month)
                                    r Annual (Less than $200 a quarter)  *Continue current filing until this change is verified by the Department.
                                    Do you make retail sales of the following items?  Select all that apply.
                                    r Alcoholic Beverages      r Alternative Nicotine    r Cigarettes or Other Tobacco Products         r Domestic Utilities
                                    r E-Cigarettes or Vapor Products   r Food Subject to Reduced State Food Tax Rate  r 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
                                     r New Tires              r  Post-Secondary Educational Textbooks            r  Telecommunication Services
                  Sales and Use Tax r 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?  ..............................................................................................  r Yes  r No
                                    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)? .....................                           r Yes  r No
                                    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? .................................................   r Yes  r No
                                    If yes, is the fuel stored, used, or consumed in an airport that is identified on the NPIAS?  ............................................................            r Yes  r No
                                    If yes, provide a list of applicable locations: ________________________________________________________________________________

                                    r 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:                                                                           Change the corporation taxable year end to:
                                    r Annually (less than $100 withholding tax per quarter)                 *Continue current 
                                                                                                             filing until this                                  (MM/DD) __ __ / __ __
                                    r Quarterly ($100 withholding tax per quarter to $499 per month)        change is verified
         Withholding Tax            r Monthly ($500 to $9,000 withholding tax per month)                    by the Department.
                                    r Quarter-Monthly (weekly) (over $9,000 withholding tax per month,                                 Corporate Income Tax
                                      required to pay electronically)
Comments

                                    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.
                                    Signature                                                                    Printed Name
         Signature
                                    Title                                                                        Date (MM/DD/YYYY)
                                                                                                                 ___  ___ / ___  ___ / ___  ___  ___  ___
                                                                                                                                                                    Form 126 (Revised 08-2021)
Registration Change
Mail to:                                  Taxation Division                      Phone:(573) 751-5860                            *15600030001* 
                                          P.O. Box 3300                          TTY:  (800) 735-2966                                                          15600030001
                                          Jefferson City, MO 65105-3300          Fax:  (573) 522-1722
                                                                                 E-mail:  businesstaxregister@dor.mo.gov
Exemption Change
Mail to:                                  Taxation Division                      Phone:(573) 751-2836            Visitdor.mo.gov/register-business/             for additional information.
                                          P.O. Box 358                           TTY:  (800) 735-2966
                                          Jefferson City, MO 65105-0358          Fax:  (573) 522-1271
                                                                                 E-mail:  salestaxexemptions@dor.mo.gov
Ever served on active duty in the United States Armed Forces?  
If yes, visit dor.mo.gov/military/ to see the services and benefits we offer to all eligible military individuals. 
A list of all state agency resources and benefits can be found at veteranbenefits.mo.gov/state-benefits/.