OFFICE OF STATE COURTS ADMINISTRATOR
MISSOURI COURTS TAX OFFSET PROGRAM |
COURT INFORMATION SHEET |
Please complete the information below. This information will be used to answer inquiries, establish e-mail groups and prepare notices used for tax offset. Please return the completed form to:
MISSOURI COURTS TAX OFFSET PROGRAM
P.O. BOX 104480
JEFFERSON CITY, MO 65110 |
PLEASE PRINT OR TYPE THE REQUESTED INFORMATION |
I. Court Name |
In the boxes below write the court name as you would like it to appear on the Notices of Offset sent to the defendant. The name can only be 35 characters long (this includes spaces special characters i.e. periods, hyphens, commas and spaces) |
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II. Court Address |
In the boxes below, write the court’s address as it should appear on the Notices of Offset sent to the defendant. |
Street Address Line 1: |
Street Address Line 2: |
City: | State: | Zip: |
III. Court Telephone Number |
In the boxes below enter the court’s phone number. This number will be given to the public when they wish to contact the court. (There is only space for one number on the notices) Please remember to include area code. |
Telephone number: |
IV. Court Contacts |
Please list the people in the court that will answer inquiries, process tax offset payments, etc. Each person listed below must sign a Confidentiality Oath. It is recommended that a least two (2) people serve as contacts within each court. Please list person’s name as it appears on Lotus Notes. |
Contact: |
Contact: |
Contact |
Contact: |
Contact: |
Contact: |
Contact: |
For osca use only |