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Form 4788 – Change of Residency Statement (Fillable PDF)

  1. Language English
  2. Country USA
  3. Activity Driver's License
  4. State Missouri
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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.

FAQ
  • Do I need to file Form 4788 if I only lived in Missouri for a few months?

    Yes. Any change in primary residence—whether you moved in or out—requires filing Form 4788 to update your state tax status.

  • Can I submit Form 4788 electronically?

    The Missouri Department of Revenue currently accepts mailed forms. However, you can fill it out online with Formize, save the PDF, and mail the printed copy.

  • What if I make a mistake after submitting?

    Contact the Missouri Department of Revenue immediately. You may need to submit a corrected Form 4788 with a new signature.

  • Is there a filing fee for Form 4788?

    No. Form 4788 is a free residency declaration; there are no processing fees.

  • How long does it take for the Department to process the change?

    Processing typically takes 2‑3 weeks after the mailed form is received, but you can check the status by contacting the Department of Revenue.

  • Can I use the same form for a business address change?

    Form 4788 is intended for individual residency changes. Businesses should use the appropriate Missouri business address change form.

  • Do I need to attach supporting documents?

    Usually a copy of a driver’s license, utility bill, or lease agreement proving the new address is recommended, though not mandatory.

  • What if I’m a non‑resident working in Missouri?

    You still need to file Form 4788 to inform the state of your residency status for accurate tax withholding.

HOW TO

How to fill out Form 4788 for free, online in 5 easy steps:

  1. 1
    Click the Fill Button
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  2. 2
    Wait for the Filler to Load
    The app loads in seconds. You’ll see editable fields appear directly on the PDF.
  3. 3
    Enter Your Information
    Type your name, addresses, dates, and any other required details into each highlighted field.
  4. 4
    Add Your Signature
    Use the built‑in signature tool to sign electronically, or print later to sign by hand.
  5. 5
    Save or Submit
    Click "Download" to save a copy, or follow the instructions to email or mail the completed form to the Missouri Department of Revenue.
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ABOUT

Driving License Application Forms

Form 4788 is one of Driver's license forms that are documents used to apply for a driver's license or to request various services related to driver's licenses. These forms are typically provided by the department or agency responsible for issuing driver's licenses in a specific jurisdiction, such as the Department of Motor Vehicles (DMV) in the United States.

Common driver's license forms include:

Driver's License Application: This form is used to apply for a new driver's license or to renew an existing one. It typically requires personal information such as name, address, date of birth, and Social Security number.

Identification Documents: Some jurisdictions require specific identification documents to verify the applicant's identity and residency. These may include forms such as a birth certificate, passport, or social security card.

Vision Examination: Many driver's license applications require a vision examination form, where an authorized medical professional or eye care specialist certifies that the applicant meets the minimum vision requirements for driving.

Driver's Education Forms: In some cases, individuals may need to provide proof of completing a driver's education course, such as a driver's education completion certificate or a form signed by an instructor.

Medical Evaluation: Certain medical conditions may require additional forms to be completed by a healthcare professional. These forms verify the applicant's physical and mental fitness to drive.

Address Change Form: If a driver's license holder moves to a new address, they may need to fill out an address change form to update their driver's license information.

Driver's license forms can be obtained from the local DMV office or downloaded from their website. It is important to carefully complete and submit the required forms along with any supporting documents to ensure a smooth application or service process.

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