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Certificate of Non-Assessment (Tax Waiver) Request Form

2. Select one:*

   1. This is my first vehicle or other personal property owned.
   2. I have not owned a vehicle or other personal property for more than a year.
   3. I moved to Missouri from another state or country.

4. First Name*

5. Middle Initial*

   Enter "NONE" if not applicable.

6. Last Name*

8. Email Address*

9. Phone Number*

11. Is there a co-owner listed on the title?*

    1. Yes
    2. No

13. Which state/country did you move to St. Charles County from?*

15. Date you moved to Missouri:*

17. Co-Owner First Name*

18. Co-Owner Middle Initial

19. Co-Owner Last Name*

21. Co-Owner Address*

23. Co-Owner Address City*

24. Co-Owner Address State*

25. Co-Owner Address Zip*

27. Do you want the co-owner listed on your personal property account?*

    1. Yes
    2. No

29. Which year was your vehicle purchased?*

    1. 2021
    2. 2020
    3. 2019

31. Address on Your Move-In Date*

33. City*

34. State*

35. Zip*

37. Address on Jan. 1 of year purchased*

    For example: If you purchased the vehicle in 2020, this is your address as of Jan. 1, 2020.

39. City*

40. State*

41. Zip*

43. Current Address*

    1. Same as above
    2. Different than above

45. Current Address*

47. City*

48. State*

49. Zip*

51. Date Moved to Current Address*

53. Have you lived in Missouri before?*

    1. Yes
    2. No

54. Which county(s) in Missouri have you lived in?*

56. Document Upload*

    Please upload a PDF, JPG or PNG of one of the following documents: title (front and back; seller and purchaser information must be completed), title application, Missouri vehicle registration renewal notice, current out-of-state registration, or bill of sale.

58. Additional Document Upload (If Needed)

Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field