Form 4506 Request for Copy or Transcript of Tax Form

(Rev. May 1997) © OMB No. 1545-0429 Read instructions before completing this form.

Department of the Treasury

Internal Revenue Service © Type or print clearly. Request may be rejected if the form is incomplete or illegible.

Note: Do not use this form to get tax account information. Instead, see instructions below.

First social security number on tax form or

employer identification number (see instructions)

1a Name shown on tax form. If a joint return, enter the name shown first. 1b

2a If a joint return, spouse’s name shown on tax form 2b Second social security number on tax form

3 Current name, address (including apt., room, or suite no.), city, state, and ZIP code

Tax period(s) (year or period ended date). If more than four, see

instructions.

9

Complete only if line 8d is checked.

Amount due:

12

6 If we cannot find a record of your tax form and you want the payment refunded to the third party, check here ©

a Cost for each period $ 23.00

b Number of tax periods requested on line 11

c Total cost. Multiply line 12a by line 12b $

Check only one box to show what you want. There is no charge for items 8a, b, and c:

Copy of tax form and all attachments (including Form(s) W-2, schedules, or other forms). The charge is $23 for each period requested.

Form(s) W-2 information (see instructions).

Telephone number of requester

Please

Sign

Here

( )

Signature. See instructions. If other than taxpayer, attach authorization document. Date Best time to call

Title (if line 1a above is a corporation, partnership, estate, or trust)

Instructions

(Continued on back)

Cat. No. 41721E Form 4506 (Rev. 5-97)

©

©

If copy of form or a tax return transcript is to be mailed to someone else, enter the third party’s name and address

If name in third party’s records differs from line 1a above, enter that name here (see instructions) ©

5

Tax form number (Form 1040, 1040A, 941, etc.)

7

Full payment must accompany your request. Make check

or money order payable to “Internal Revenue Service.”

Note: If these copies must be certified for court or administrative proceedings, see instructions and check here ©

For Privacy Act and Paperwork Reduction Act Notice, see back of form.

b

d

10

a Tax return transcript of Form 1040 series filed during the current calendar year and the 3 prior calendar years (see instructions).

Small Business Administration Department of Education Department of Veterans Affairs Financial institution

If this request is to meet a requirement of one of the following, check all boxes that apply.

8

Verification of nonfiling.

c

Caution: Before signing, make sure all items are complete and the form is dated.

© Spouse’s signature Date

TRY A TAX RETURN

TRANSCRIPT (see line

8a instructions)

Section references are to the Internal

Revenue Code.

TIP: If you had your tax form filled in by a

paid preparer, check first to see if you can

get a copy from the preparer. This may save

you both time and money.

Purpose of Form.—Use Form 4506 to get a

tax return transcript, verification that you did

not file a Federal tax return, Form W-2

information, or a copy of a tax form. Allow 6

weeks after you file a tax form before you

request a copy of it or a transcript. For W-2

Do not use this form to request Forms

1099 or tax account information. See this

page for details on how to get these items.

Note: Form 4506 must be received by the

IRS within 60 calendar days after the date you

signed and dated the request.

How Long Will It Take?—You can get a tax

return transcript or verification of nonfiling

within 7 to 10 workdays after the IRS receives

your request. It can take up to 60 calendar

Forms 1099.—If you need a copy of a Form

1099, contact the payer. If the payer cannot

help you, call or visit the IRS to get Form

1099 information.

Tax Account Information.—If you need a

statement of your tax account showing any

later changes that you or the IRS made to the

original return, request tax account

information. Tax account information lists

4 Address, (including apt., room, or suite no.), city, state, and ZIP code shown on the last return filed if different from line 3

11

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 the tax information requested to any party shown on line 5. The IRS has no control over what

that party does with the information.

information, wait 13 months after the end of

the year in which the wages were earned. For

example, wait until Feb. 1999 to request W-2

information for wages earned in 1997.

days to get a copy of a tax form or W-2

information. To avoid any delay, be sure to

furnish all the information asked for on Form

4506.
Form 4506 (Rev. 5-97) Page 2

Where To File.—Mail Form 4506 with the

correct total payment attached, if required, to

the Internal Revenue Service Center for the

place where you lived when the requested tax

form was filed.

Line 11.—Enter the year(s) of the tax form or

tax return transcript you want. For fiscal-year

filers or requests for quarterly tax forms, enter

the date the period ended; for example,

3/31/96, 6/30/96, etc. If you need more than

four different tax periods, use additional

Forms 4506. Tax forms filed 6 or more years

ago may not be available for making copies.

However, tax account information is generally

still available for these periods.

Note: You must use a separate form for each

service center from which you are requesting

a copy of your tax form or tax return

transcript.

If you lived in: Use this address:

1040 Waverly Ave.

Photocopy Unit

Stop 532

Holtsville, NY 11742

New Jersey, New York

(New York City and

counties of Nassau,

Rockland, Suffolk, and

Westchester)

310 Lowell St.

Photocopy Unit

Stop 679

Andover, MA 01810

New York (all other

counties), Connecticut,

Maine, Massachusetts,

New Hampshire,

Rhode Island, Vermont

Line 12c.—Write your SSN or EIN and “Form

4506 Request” on your check or money

order. If we cannot fill your request, we will

refund your payment.

4800 Buford Hwy.

Photocopy Unit

Stop 91

Doraville, GA 30362

Florida, Georgia,

South Carolina

Signature.—Requests for copies of tax forms

or tax return transcripts to be sent to a third

party must be signed by the person whose

name is shown on line 1a or by a person

authorized to receive the requested

information.

P.O. Box 145500

Photocopy Unit

Stop 521

Cincinnati, OH 45250

Indiana, Kentucky,

Michigan, Ohio,

West Virginia

Line 5.—If you want someone else to receive

the tax form or tax return transcript (such as

a CPA, an enrolled agent, a scholarship

board, or a mortgage lender), enter the name

and address of the individual. If we cannot

find a record of your tax form, we will notify

the third party directly that we cannot fill the

request.

3651 South Interregional

Hwy.

Photocopy Unit

Stop 6716

Austin, TX 73301

Kansas, New Mexico,

Oklahoma, Texas

P.O. Box 9941

Photocopy Unit

Stop 6734

Ogden, UT 84409

Alaska, Arizona, California

(counties of Alpine,

Amador, Butte,

Calaveras, Colusa,

Contra Costa, Del Norte,

El Dorado, Glenn,

Humboldt, Lake, Lassen,

Marin, Mendocino,

Modoc, Napa, Nevada,

Placer, Plumas,

Sacramento, San Joaquin,

Shasta, Sierra, Siskiyou,

Solano, Sonoma, Sutter,

Tehama, Trinity, Yolo,

and Yuba), Colorado,

Idaho, Montana,

Nebraska, Nevada,

North Dakota, Oregon,

South Dakota, Utah,

Washington, Wyoming

Copies of tax forms or tax return transcripts

for a jointly filed return may be furnished to

either the husband or the wife. Only one

signature is required. However, see the line

8c instructions. Sign Form 4506 exactly as

your name appeared on the original tax form.

If you changed your name, also sign your

current name.

Line 7.—Enter the name of the client,

student, or applicant if it is different from the

name shown on line 1a. For example, the

name on line 1a may be the parent of a

student applying for financial aid. In this case,

you would enter the student’s name on line 7

so the scholarship board can associate the

tax form or tax return transcript with their file. For a corporation, the signature of the

president of the corporation, or any principal

officer and the secretary, or the principal

officer and another officer are generally

required. For more details on who may obtain

tax information on corporations, partnerships,

estates, and trusts, see section 6103.

5045 E. Butler Avenue

Photocopy Unit

Stop 52180

Fresno, CA 93888

California (all other

counties), Hawaii

If you are not the taxpayer shown on line

1a, you must attach your authorization to

receive a copy of the requested tax form or

tax return transcript. You may attach a copy

of the authorization document if the original

has already been filed with the IRS. This will

generally be a power of attorney (Form

2848), or other authorization, such as Form

8821, or evidence of entitlement (for Title 11

Bankruptcy or Receivership Proceedings). If

the taxpayer is deceased, you must send

Letters Testamentary or other evidence to

establish that you are authorized to act for

the taxpayer’s estate.

Illinois, Iowa, Minnesota,

Missouri, Wisconsin

2306 E. Bannister Road

Photocopy Unit

Stop 6700, Annex 1

Kansas City, MO 64999

Alabama, Arkansas,

Louisiana, Mississippi,

North Carolina,

Tennessee

P.O. Box 30309

Photocopy Unit

Stop 46

Memphis, TN 38130

Delaware,

District of Columbia,

Maryland, Pennsylvania,

Virginia, a foreign

country, or A.P.O. or

F.P.O address

11601 Roosevelt Blvd.

Photocopy Unit

DP 536

Philadelphia, PA 19255

If you have comments concerning the

accuracy of these time estimates or

suggestions for making this form simpler, we

would be happy to hear from you. You can

write to the Tax Forms Committee, Western

Area Distribution Center, Rancho Cordova,

CA 95743-0001. DO NOT send the form to

this address. Instead, see Where To File on

this page.

Privacy Act and Paperwork Reduction Act

Notice.—We ask for the information on this

form to establish your right to gain access to

your tax form or transcript under the Internal

Revenue Code, including sections 6103 and

6109. We need it to gain access to your tax

form or transcript in our files and properly

respond to your request. If you do not furnish

the information, we will not be able to fill your

request. We may give the information to the

Department of Justice or other appropriate

law enforcement official, as provided by law.

The time needed to complete and file this

form will vary depending on individual

circumstances. The estimated average time

is: Recordkeeping, 13 min.; Learning about

the law or the form, 7 min.; Preparing the

form, 26 min.; and Copying, assembling,

and sending the form to the IRS, 17 min.

Note: If you do not complete line 1b and, if

applicable, line 2b, there may be a delay in

processing your request.

Line 8a.—If you want a tax return transcript,

check this box. Also, on line 10 enter the tax

form number and on line 11 enter the tax

period for which you want the transcript.

A tax return transcript is available only for

returns in the 1040 series (Form 1040, Form

1040A, 1040EZ, etc.). It shows most line

items from the original return, including

accompanying forms and schedules. In many

cases, a transcript will meet the requirement

of any lending institution such as a financial

institution, the Department of Education, or

the Small Business Administration. It may

also be used to verify that you did not claim

any itemized deductions for a residence.

Note: A tax return transcript does not reflect

any changes you or the IRS made to the

original return. If you want a statement of your

tax account with the changes, see Tax

Account Information on page 1.

Line 8b.—Check this box only if you want

proof from the IRS that you did not file a

return for the year. Also, on line 11 enter the

tax period for which you want verification of

nonfiling.

Line 8c.—If you want only Form(s) W-2

information, check this box. Also, on line 10

enter “Form(s) W-2 only” and on line 11 enter

the tax period for which you want the

information.

You may receive a copy of your actual

Form W-2 or a transcript of the information,

depending on how your employer filed the

form. However, state withholding information

is not shown on a transcript. If you have filed

your tax return for the year the wages were

earned, you can get a copy of the actual

Form W-2 by requesting a complete copy of

your return and paying the required fee.

Contact your employer if you have lost your

current year’s Form W-2 or have not received

it by the time you are ready to prepare your

tax return.

Note: If you are requesting information about

your spouse’s Form W-2, your spouse must

sign Form 4506.

Line 8d.—If you want a certified copy of a

tax form for court or administrative

proceedings, check the box to the right of

line 8d. It will take at least 60 days to process

your request.

You are not required to provide the

information requested on a form that is

subject to the Paperwork Reduction Act

unless the form displays a valid OMB control

number. Books or records relating to a form

or its instructions must be retained as long as

their contents may become material in the

administration of any Internal Revenue law.

Generally, tax returns and return information

are confidential, as required by section 6103.

Line 2b.—If requesting a copy or transcript of

a joint tax form, enter the second SSN shown

on the tax form.

Line 1b.—Enter your employer identification

number (EIN) only if you are requesting a

copy of a business tax form. Otherwise,

enter the first social security number (SSN)

shown on the tax form.

To request tax account information, write or

visit an IRS office or call the IRS at the

number listed in your telephone directory.

If you want your tax account information

sent to a third party, complete Form 8821,

Tax Information Authorization. You may get

this form by phone (call 1-800-829-3676) or

on the Internet (at http://www.irs.ustreas.gov).

certain items from your return, including any

later changes.