Request for Copy of Tax Return (2012)

Form

4506

Request for Copy of Tax Return

OMB No. 1545-0429

(Rev. January 2012)

Department of the Treasury

Internal Revenue Service

▶ Request may be rejected if the form is incomplete or illegible.

Tip. You may be able to get your tax return or return information from other sources. If you had your tax return completed by a paid preparer, they

should be able to provide you a copy of the return. The IRS can provide a Tax Return Transcript for many returns free of charge. The transcript

provides most of the line entries from the original tax return and usually contains the information that a third party (such as a mortgage company)

requires. See Form 4506-T, Request for Transcript of Tax Return, or you can quickly request transcripts by using our automated self-help service

tools. Please visit us at IRS.gov and click on “Order a Transcript” or call 1-800-908-9946.

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

1b First social security number on tax return,

individual taxpayer identification number, or

employer identification number (see instructions)

2a If a joint return, enter spouse’s name shown on tax return.

2b Second social security number or individual

taxpayer identification number if joint tax return

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

4 Previous address shown on the last return filed if different from line 3 (see instructions)

5 If the tax return is to be mailed to a third party (such as a mortgage company), enter the third party’s name, address, and telephone number.

Caution. If the tax return is being mailed to a third party, ensure that you have filled in lines 6 and 7 before signing. Sign and date the form once you

have filled in these lines. Completing these steps helps to protect your privacy. Once the IRS discloses your IRS return to the third party listed on line

5, the IRS has no control over what the third party does with the information. If you would like to limit the third party's authority to disclose your return

information, you can specify this limitation in your written agreement with the third party.

6

Tax return requested. Form 1040, 1120, 941, etc. and all attachments as originally submitted to the IRS, including Form(s) W-2,

schedules, or amended returns. Copies of Forms 1040, 1040A, and 1040EZ are generally available for 7 years from filing before they are

destroyed by law. Other returns may be available for a longer period of time. Enter only one return number. If you need more than one

type of return, you must complete another Form 4506. ▶

Note. If the copies must be certified for court or administrative proceedings, check here .

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7

Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than

eight years or periods, you must attach another Form 4506.

8

Fee. There is a $57 fee for each return requested. Full payment must be included with your request or it will

be rejected. Make your check or money order payable to “United States Treasury.” Enter your SSN or EIN

and “Form 4506 request” on your check or money order.

a

b

c

9

$

Cost for each return . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of returns requested on line 7 . . . . . . . . . . . . . . . . . . . . . .

Total cost. Multiply line 8a by line 8b . . . . . . . . . . . . . . . . . . . . . .

$

If we cannot find the tax return, we will refund the fee. If the refund should go to the third party listed on line 5, check here .

$57.00

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Caution. Do not sign this form unless all applicable lines have been completed.

Signature of taxpayer(s). 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 return

requested. If the request applies to a joint return, either husband or wife must sign. If signed by a corporate officer, partner, guardian, tax matters

partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have the authority to execute Form 4506 on behalf of

the taxpayer. Note. For tax returns being sent to a third party, this form must be received within 120 days of the signature date.

Phone number of taxpayer on line

1a or 2a

▲ ▲ ▲

Sign

Here

Signature (see instructions)

Date

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

Spouse’s signature

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Date

Cat. No. 41721E

Form 4506 (Rev. 1-2012)

Page 2

Form 4506 (Rev. 1-2012)

Section references are to the Internal Revenue Code

unless otherwise noted.

What's New

The IRS has created a page on IRS.gov for

information about Form 4506 and its instructions, at

www.irs.gov/form4506. Information about any recent

developments affecting Form 4506, Form 4506T and

Form 4506T-EZ will be posted on that page.

Chart for all other returns

If you lived in

or your business

was in:

Mail to the

“Internal Revenue

Service” at:

Alabama, Alaska,

Arizona, Arkansas,

California, Colorado,

Florida, Hawaii, Idaho,

Iowa, Kansas, Louisiana,

Minnesota, Mississippi,

Missouri, Montana,

Nebraska, Nevada,

New Mexico,

North Dakota,

Oklahoma, Oregon,

South Dakota, Texas,

Utah, Washington,

Wyoming, a foreign

country, or A.P.O. or

F.P.O. address

RAIVS Team

P.O. Box 9941

Mail Stop 6734

Ogden, UT 84409

RAIVS Team

P.O. Box 145500

Stop 2800 F

Cincinnati, OH 45250

If you are requesting a return for more than one

year and the chart below shows two different

addresses, send your request to the address based

on the address of your most recent return.

Connecticut, Delaware,

District of Columbia,

Georgia, Illinois, Indiana,

Kentucky, Maine,

Maryland,

Massachusetts,

Michigan, New

Hampshire, New Jersey,

New York, North

Carolina,

Ohio, Pennsylvania,

Rhode Island, South

Carolina, Tennessee,

Vermont, Virginia, West

Virginia, Wisconsin

Chart for individual returns

(Form 1040 series)

Specific Instructions

General Instructions

Caution. Do not sign this form unless all applicable

lines have been completed.

Purpose of form. Use Form 4506 to request a copy

of your tax return. You can also designate (on line 5)

a third party to receive the tax return.

How long will it take? It may take up to 60

calendar days for us to process your request.

Tip. Use Form 4506-T, Request for Transcript of Tax

Return, to request tax return transcripts, tax account

information, W-2 information, 1099 information,

verification of non-filing, and record of account.

Automated transcript request. You can quickly

request transcripts by using our automated self-help

service tools. Please visit us at IRS.gov and click on

“Order a Transcript” or call 1-800-908-9946.

Where to file. Attach payment and mail Form 4506

to the address below for the state you lived in, or the

state your business was in, when that return was

filed. There are two address charts: one for

individual returns (Form 1040 series) and one for all

other returns.

If you filed an

individual return

and lived in:

Mail to the

“Internal Revenue

Service” at:

Alabama, Kentucky,

Louisiana, Mississippi,

Tennessee, Texas, a

foreign country, American

Samoa, Puerto Rico,

Guam, the

Commonwealth of the

Northern Mariana Islands,

the U.S. Virgin Islands, or

A.P.O. or F.P.O. address

Line 1b. Enter your employer identification number

(EIN) if you are requesting a copy of a business

return. Otherwise, enter the first social security

number (SSN) or your individual taxpayer

identification number (ITIN) shown on the return. For

example, if you are requesting Form 1040 that

includes Schedule C (Form 1040), enter your SSN.

RAIVS Team

Stop 6716 AUSC

Austin, TX 73301

Line 3. Enter your current address. If you use a P.O.

box, please include it on this line 3.

Alaska, Arizona,

Arkansas, California,

Colorado, Hawaii, Idaho,

Illinois, Indiana, Iowa,

Kansas, Michigan,

Minnesota, Montana,

Nebraska, Nevada, New

Mexico, North Dakota,

Oklahoma, Oregon,

South Dakota, Utah,

Washington, Wisconsin,

Wyoming

Connecticut,

Delaware, District of

Columbia, Florida,

Georgia, Maine,

Maryland,

Massachusetts,

Missouri, New

Hampshire, New Jersey,

New York, North

Carolina, Ohio,

Pennsylvania, Rhode

Island, South Carolina,

Vermont, Virginia, West

Virginia

Line 4. Enter the address shown on the last return

filed if different from the address entered on line 3.

Note. If the address on Lines 3 and 4 are different

and you have not changed your address with the

IRS, file Form 8822, Change of Address.

RAIVS Team

Stop 37106

Fresno, CA 93888

Signature and date. Form 4506 must be signed and

dated by the taxpayer listed on line 1a or 2a. If you

completed line 5 requesting the return be sent to a

third party, the IRS must receive Form 4506 within

120 days of the date signed by the taxpayer or it will

be rejected. Ensure that all applicable lines are

completed before signing.

Individuals. Copies of jointly filed tax returns may

be furnished to either spouse. Only one signature is

required. Sign Form 4506 exactly as your name

appeared on the original return. If you changed your

name, also sign your current name.

RAIVS Team

Stop 6705 P-6

Kansas City, MO

64999

Corporations. Generally, Form 4506 can be

signed by: (1) an officer having legal authority to bind

the corporation, (2) any person designated by the

board of directors or other governing body, or (3)

any officer or employee on written request by any

principal officer and attested to by the secretary or

other officer.

Partnerships. Generally, Form 4506 can be

signed by any person who was a member of the

partnership during any part of the tax period

requested on line 7.

All others. See section 6103(e) if the taxpayer has

died, is insolvent, is a dissolved corporation, or if a

trustee, guardian, executor, receiver, or

administrator is acting for the taxpayer.

Documentation. For entities other than individuals,

you must attach the authorization document. For

example, this could be the letter from the principal

officer authorizing an employee of the corporation or

the letters testamentary authorizing an individual to

act for an estate.

Signature by a representative. A representative

can sign Form 4506 for a taxpayer only if this

authority has been specifically delegated to the

representative on Form 2848, line 5. Form 2848

showing the delegation must be attached to Form

4506.

Privacy Act and Paperwork Reduction Act

Notice. We ask for the information on this form to

establish your right to gain access to the requested

return(s) under the Internal Revenue Code. We need

this information to properly identify the return(s) and

respond to your request. If you request a copy of a

tax return, sections 6103 and 6109 require you to

provide this information, including your SSN or EIN,

to process your request. If you do not provide this

information, we may not be able to process your

request. Providing false or fraudulent information

may subject you to penalties.

Routine uses of this information include giving it to

the Department of Justice for civil and criminal

litigation, and cities, states, the District of Columbia,

and U.S. commonwealths and possessions for use

in administering their tax laws. We may also

disclose this information to other countries under a

tax treaty, to federal and state agencies to enforce

federal nontax criminal laws, or to federal law

enforcement and intelligence agencies to combat

terrorism.

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.

The time needed to complete and file Form 4506

will vary depending on individual circumstances. The

estimated average time is: Learning about the law

or the form, 10 min.; Preparing the form, 16 min.;

and Copying, assembling, and sending the form

to the IRS, 20 min.

If you have comments concerning the accuracy of

these time estimates or suggestions for making

Form 4506 simpler, we would be happy to hear from

you. You can write to:

Internal Revenue Service

Tax Products Coordinating Committee

SE:W:CAR:MP:T:M:S

1111 Constitution Ave. NW, IR-6526

Washington, DC 20224.

Do not send the form to this address. Instead, see

Where to file on this page.