Form 4788 – Change of Residency Statement (Fillable PDF)

Form 4788, the Change of Residency Statement, is the official document required by the Missouri Department of Revenue when you move into or out of Missouri and need to update your tax residency status. The form must be signed under penalty of perjury, making accuracy essential.

What Is Form 4788?

This form serves as a declaration that you have changed your residency and provides the Department of Revenue with the information needed to adjust state tax withholdings, refunds, and future filings. It is a simple, one‑page PDF that can be completed electronically.

Who Must File Form 4788?

• Individuals who have moved to Missouri from another state.
• Missouri residents who have established a new primary residence outside the state.
• Employees whose employer needs an updated residency status for state tax withholding.

How to Complete the Form Online

Instead of downloading the PDF and using a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load instantly, allowing you to type directly into each field.

Common Mistakes to Avoid

• Incorrect dates: Use the exact move‑in or move‑out date (MM/DD/YYYY).
• Missing signature: The form is not valid without a handwritten or electronic signature.
• Wrong address format: Include street, city, state, and ZIP code.
• Leaving optional fields blank: Even if a field says "optional," fill it with "N/A" if it does not apply.

Download & Save Your Completed Form

After you finish, you can download the completed PDF, print it for your records, or submit it directly to the Missouri Department of Revenue via mail or their online portal.

Need help? Review the step‑by‑step guide below or check the FAQs for quick answers.