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INFORMATION (REV. 08-2008) (573) 751-4300 www.dor.mo.gov INSTRUCTIONS: This application must be completed and approved before an applicant can obtain restricted information. Only applicants who meet the criteria outlined in Section B are eligible to obtain restricted information. SECTION A. REQUESTER INFORMATION (THIS SECTION MUST BE COMPLETED BY ALL.) NAME OF INDIVIDUAL (LAST NAME, FIRST NAME, MIDDLE INITIAL), PARTNERSHIP, OR CORPORATION TELEPHONE NUMBER REQUESTER NAME (FIRM OR TRADE) FAX.

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