Mo. Rev. Stat. § 140.015
2. Any person requesting such an extension as provided in this section shall provide a list of such destroyed property to the county collector or collector of any city not within a county. The collector shall have available at his office a supply of appropriate forms on which the list shall be made. The oath to be signed and affirmed or sworn to by each person making a list of such destroyed property shall be as follows:
I, ..........., do solemnly swear, or affirm, that the foregoing list contains a true and correct statement of the real or taxable tangible personal property, excluding motor vehicles, which I owned or which I had under my charge or management during the month of July, August, or September, 1993, and which was partially or totally destroyed during those months by a natural disaster.
Any person who completes such a list and with intent to defraud includes property on the list that was not partially or totally destroyed by a natural disaster during the month of July, August, or September, 1993, shall, in addition to any other penalties provided by law, be assessed double the true value of any property fraudulently listed. The list and oath shall be filed by the collector, after he has completed his collector's books and provided a copy of such list to the county assessor or assessor of any city not within a county, in the office of the county clerk or clerk of any city not within a county, who, after entering the filing thereon, shall preserve and safely keep the list and oath. The assessor, upon receiving a copy of such list, may verify such list by contacting each person submitting such list and by observing personally the destroyed property to ensure that person made a correct statement of all such destroyed property.
(L. 1993 1st Ex. Sess. S.B. 3)
Effective 9-30-93