Form4506 REQUEST FOR COPY OR TRANSCRIPT OF TAX FORM
(Rev. May 1997)
Read Instructions before completing this form. OMB No. 1545-0429
Department of the Treasury
internal Revenue Service Type or print clearly. Request may be rejected 9 the form is incomplete or illegible.
Note: Do not use this form to get tax account Information. Instead, see instructions below.
is Name shown on tax form. 0 a joint return, enter the name shown first. 1 b First social security number on tax form or employer
Identification number. (See Instructions.)
2a If a joint return, spouse's name shown on tax form 2b Second social security number on tax form
3 Current name and address (Including apt.. room or suite no.), city, state, and ZIP code
4 Address, including apt.. room, or suits no.) city, state, and ZIP code shown on the last return riled I different from One 3
5 9 copy of form or a tax return transcript Is to be mailed to someone ohm. show the third party's name and address.
6 If we cannot find a record of your tax form and you want the payment refunded to the third party, check here
7 If name In third party's records differs from line I a above, show name here. (See Instructions)
3 Check only one box to show what you ward. There Is no charge for items Be, b, and c:
Tax return transcript of Form 1040 series filed during the current calendar year and the 3 prior calendar years. (See Instructions).
b Verification of nonfiling.
c Form(s) W-2 Information (sea instructions).
d Copy of tax form and all attachments including Form(s) W-2. schedules, or other forms). The charge Is $23.00 for each period requested.
Note: It these copies must be certified for court or administrative proceedings, see Instructions and check here
9 if this request Is to meet a requirement of one of the following. check all boxes that apply.
r Small Business Administration Department of Education Department of Veterans Affairs Financial Institution
10 Tax form number (Form 1040,1040A, 941. etc.) 12 Complete only If line 8d Is chocked. Amount due:
• Cost for each period $ 23.00
b Number of tax periods requested on line 111
11 Tax period(*) (year or period ended date). If more than four, see Instructions. c Total cost. Multiply One 12a by One 12b. ... $
Full payment must accompany your request Make
check or money order payable to Internal Revenue
Service.'
Caution: Before signing, make sure all dome are complete and the form Is dated.
I declare that I am either the taxpayer whose name Is shown on line 1a or 2a, or a person authorized to obtain the tax information requested. I am aware that based
upon this form. the IRS will release I a tax
Telephone number of requester
Signature. See instructions. If other than taxpayer, attach authorization document. Date am time to Go
Please
Sign Title (if a above is a corporation, partnership, estate, or trust) TRY A TAX RETURN -
Here TRANSCRIPT
Spouse's Signature. Date (see line So Instructions)
Instructions Do not use this form to request Forms 1 099 or tax Tax Account Information. - If you need a statement
Section references are to the Internal Revenue account information. See this page for details on how of your tax account showing any later changes that
Code. to get these items. you or the IRS made to the original return, request
Note; Form 4506 must be received by the IRS within tax account information. Tax account Information
TIP: If you had your tax form filled In by a paid 60 calendar days after the date you signed and dated lists certain items from your return Including any later
preparer, check first to see it you can got a copy from the request. changes.
the preparer. This my save you both time and To request tax account information, write or *A
money. How Long Will It Take? - You can get a tax return an IRS office or call the IRS at the-number Wed in
transcript or verification of nonfiling within 7 to 10 your telephone directory.
Purpose of Form. - Use Form 4506 to got a tax workdays after the IRS receives your request. It can If you want your tax account Information sent to a
return transcript, verification that you did not file a take up to 60 calendar days to got a copy of a tax third party, complete FORM 8821, Tax Information
Federal tax return Form W-2 information, or a copy form or W-2 information. To avoid any delay, be sure Authorization You may got this form by phone (call
of a tax form. Allow 6 weeks after you file a tax form to furnish all the information asked for on Form 4808 1 -800-829-3676) or on the Internet (at
before you request a copy of it or a transcript For
W-2 Information, wait 13 months after the end of the Form 1099 - If you need a copy of a Form 1099, htIp://www.irs.ustreas.gov).
year in which the wages were earned. For example, contact the payer. If the payer cannot help you, call Line 1b. Enter your employer identification number
wait until Feb. 1999 to request W-2 information for or visit the IRS to got Form 1099 information. If you are requesting a copy of a business
wages earned in 1997. tax form. Otherwise, enter the first social security
(Continued on next page)
For Paperwork Reduction Act Notice, see page 2 of form Cat. No. 41721 E Form 45M (REV- 05-97
Form 4506 (Rev. &97) Page 2
number shown on the tax form. to the right of proceedings, check the box to the right
Line 2b. If requesting a copy or triiinscrip(of a Xxnt of One 8d. It will take at least 60 days to process your Indiana, Kentucky. P.O. Box 146500
tax form, enter the second social security number request. Michigan, Ohio. Cincinnati. OH
West Virginia 45250
shown on the tax form. Line I 1. - Enter the yeaqs) of the tax form or tax
Note; If you do not complete line lb and, I return transcript you want. For fiscal-year filers or Kansas, Now Mexico. 3651 S. Interregional
applicable, line 2b, there may be a delay In Oklahoma, Texas Hwy
requests for quarterly tax forms, enter thedatethe
processing your request. Photocopy Unit
Stop
period ended; for example, 3/31/96, 6/30/96, etc. If
Line S. - It you want someone also to receive the tax you need more than four different tax penods, use Austin, TX 73301
form or tax return transcript (such as a CPA, an additional Forms 4506. Tax forms filed 6 or more Alaska, Arizona
enrolled agent, a scholarship board, ora mortgage California, (cou6es of
years ago may not be available for making copies- Alpine, Amador, Butte,
lender), enter the name and address of the However, tax account information Is generally still Caleveras, Colusa,
individual. If we cannot find a record of your tax form, available for these penods. Contra Costa,
Dal Norte, El Dorado,
we will notify the third party directly that we cannot fill Line 12c. - Write your SSN or EIN and "Form 4506 Glenn, Humboldt, Lake,
the request. Request' on your check or money order. If we cannot Lassen. Madn P 0. Box 9941
Mendocino, dodoc, Photocopy Unit
Une 7. - Enter the name of the client, student, or fill your request, we will refund your payment. Napa, Nevada, Placer, Stop 6734
applicant If 4 Is different from the name shown on One Signature. - Requests for copies of tax forms or tax Plumas, Sacramento, Ogden, UT 84409
San Joaquin, Shasta.
1 a. For example, the name on line 1 a my be the return transcripts to be sent to a third party must be Sierra, Siskiyou, Solano,
parent of a student applying for financial aid. In this signed by the person whose name is shown on line Sonoma. Sutter Teham,
Yolo, an~
case, you would enter the student's name on Una 7 I a or by a person authorized to recerve the requested Yubal, Colorado,
so the scholarship board can associate the tax form information. Idaho, Montana,
Nebraska, Nevada.
or tax return transcript with their file. Copies of tax forms or tax return transcripts for a North Dakota, Oregon,
Uns,Ss.- If you want a tax return transcript. check jointly filed return may be furnished to either the South Dakota Utah
Washington, korning
this box. Also, on line 1 0 enter the tax form number husband or the wife. Only one signature is required.
and on line I I enter the tax period for which you However, see the line So Instructions. Sign Form California other (all 5045 E. Butler Ave.
counties), wait Photocopy Unit
want the transcript. 4506 exactly as your name appeared on the original Stop 52180
tax form. If you changed your name, also sign your Fresno, CA 93MB
A tax return transcript is available only for rellume
cuffent name.
in the 1040 series (Form 1040, Form 1040A, 1040EZ,
etc.) It shows most line items f rom the original return. For a corporation. the signature of the president of Illinois. Iowa 2306 E. Bannister Rd
Minnesota, Wssourl. Photocopy Unit
Including accompanying forms and schedules In the corporation, or any principal officer and the Wisconsin Stop 6700, Annex 1
many cases, a transcript will meet the requirement of secretary, or the principal officer and another officer Kansas City, MO 649M
any lending institution such as a financial institution, are generally required For more details on who may Alabama, Arkansa , P.O. Box 30309
the Department of Education, or the Small Business obtain tax Information on corporations, partnerships. Louisiana, Mississippi, Photocopy Unit
estates, and trusts. see section 6103. North Carolina, Stop 46
Administration. It my also be used to verily that you Tennessee Memphis. TN 38130
did not claim any itemized deductions for a If you are not the taxpayer shown on One I a, you
must attach your authorization to receive a copy of Delaware, I I 601 Roosevelt Blvd.
residence. District of Columbia, Photocopy Unit
the requested tax form or tax return transcript You Maryland, Pennsylvania, DP 536
Note: A tax return transcript does not reflect any Bensalem, PA 19255
may attach a copy of the authorization document it Virginia, a Foreign
changes you or the IRS made to the original return. If or had an
the original has already been riled with the IRS. This A P 0. or F.P.0 address
you want a statement of your tax account with the
will generally be a power of attorney (Form 2848). or
changes see Tax Account I nformatlon on page I Privacy Act and Paperwork Reduction Act
other authorization, such as Form 8821, or evidence
Line 8b. - Check this box only d you want prooff rom Notice. - We ask for the Information on this form
of entitlement (for Title 11 Bankruptcy or to establish your right to gain access to your tax form
the IRS that you did not file a return for the year.
Receivership Proceedings) If the taxpayer is or transcript under the Internal Revenue Code,
Also, on line 1 1 enter the tax period for which you are deceased, you must send Letters Testamentary or including sections 6103 and 61 09. We need it to gain
requesting verification of nonf ifing. other evidence to establish that you are authorized to access to your tax form or transcript in our riles and
Line So. - If you need only a copy of your Form(s) property respond to your request. If you do not
act for the taxpayer's estate. furnish the information, we will not be able to fill your
W-2, check this box Also, on line I 0 enter *Form(s) Where To File. - Mail Form 4506 with the correct request We may give the information to the
W-2 onV, and on line I I enter the tax period for total payment attached, If required, to the Internal Department of Justice or other appropriate law
which you want the Information. enforcement official. as provided by law.
Revenue Service Center for the place where you
You may receive a copy of your actual Form W-2 lived when the requested tax form was riled. You are not required to provide the Information
requested on a form that Is subject to the Paperwork
or a transcript of the lnfoffrl~iion-, depending on FioW Note: You must use a separate form for each service Reduction Act union the form displays a valid OMB
employer filed the form. However. state withhokfing center from which you are requesting a copy of your control number. Books or records relating to a form
information is not shown on a transcnpL I you have tax form or tax return transcript. or its instructions must be retained as long as their
contents may become material in the administration
filed your tax return for the year the wages were If you lived In: Use this address: of any Internal Revenue law. Generally, tax returns
earned. you can get a copy of the actual Form W-2 and return Information are confidential. as required
New Jersey, New York 1040 Wave It Ave. by section 6103.
by requesting a complete copy of your return and (Now York City Photocopy
paying the required fee. and counties of Nassau, Stop 532 The time needed to complete and file this form will
Rockland, Suffolk, and Hollsvills, NY 11742 vary-depending on Individual circumstances. The
Contact your employer if you have lost your Westchester) estimated average tim Is:
current year's Form W-2 or have not received it by Recordkeeping 13 m1n.
the time you are ready to prepare your tax return. 9
Now York I other
counties) nnecticut,
31 0 Lowell St
Photocopy 1.1~4 Learning about ft law or the form 7 min.
Note; If you are requesting informallonabout your Maine, Massachusetts Sic 679 Preparing the f omL 26 mim
Now Hampshire, Ar,Fo,,,r, MA 01 81 0 Copying, assembling and sending the
spouse's Form W-2, your spouse must sign Form Rhode Island, Vermont form to the IRS 17 m1n.
4506 If you have comments concerning the accuracy of
Florida Georgia 4800 Buford Hwy.
Una 8d. - 9 you are requesting a certified copy of a South Urolina. Photocopy Unit these time estimates or suggestions for makingthis
tax form for court or adrninistrative proceedings, Stop 91 form simpler, we would be happy to hear from you.
Doraville, GA 30362 You can write to the Tax Forms ComMitlas, WOStOm
check the box to the right of If you are requesong a Area Distribution Center, Rancho Cordova. CA
certified copy of a tax form for court or adrFunistrative 95743-0001. 00 NOT send the form to this addreits.
Instead, see Where To File on this page.
U S. Government Printing Office. 1997 - 417-677/60164