Form

4506

Read instructions before completing this form.

Type or print clearly. Request may be rejected if the form is incomplete or illegible.

Request for Copy or Transcript of Tax Form

(Rev. May 1997)

OMB No. 1545-0429

Department of the Treasury Internal Revenue Service

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

	1b First social security number on tax form or employer identification number (see instructions)	

3

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

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

5

If copy of form or a tax return transcript is to be mailed to someone else, enter 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 1a above, enter that name here (see instructions)

8

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

a

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 (see instructions).

d

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

Note: If 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.

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 checked. Amount due:

a Cost for each period

	

$

b Number of tax periods requested on line 11
c Total cost. Multiply line 12a by line 12b

$

Full payment must accompany your request. Make check or money order payable to “Internal Revenue Service.”

11

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

Caution: Before signing, make sure all items 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 the tax information requested to any party shown on line 5. The IRS has no control over what that party does with the information.

Telephone number of requester

Signature. See instructions. If other than taxpayer, attach authorization document.

Date

Best time to call

Please

Sign

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

TRY A TAX RETURN

TRANSCRIPT (see line

8a instructions)

Here

Spouse’s signature

Date

Instructions

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.

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.

Do not use this form to request Forms 1099 or tax account information. See this page for details on how to get these items.

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.

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

Note: Form 4506 must be received by the
IRS within 60 calendar days after the date you Tax Account Information.—If you need a signed and dated the request.

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

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

(Continued on back)

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

Cat. No. 41721E

Form 4506 (Rev. 5-97)

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

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

2b Second social security number on tax form

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Form 4506 (Rev. 5-97)

Page 2

certain items from your return, including any later changes.

Note: If you are requesting information about your spouse’s Form W-2, your spouse must sign Form 4506.

Indiana, Kentucky,

P.O. Box 145500

Photocopy Unit

To request tax account information, write or visit an IRS office or call the IRS at the

West Virginia

Michigan, Ohio,

Stop 521

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.

Cincinnati, OH 45250

number listed in your telephone directory.

3651 South Interregional

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).

Kansas, New Mexico,

Photocopy Unit

Hwy.

Oklahoma, Texas

Stop 6716

Austin, TX 73301

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

Alaska, Arizona, California

(counties of Alpine,

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)

Amador, Butte,

Calaveras, Colusa,

Contra Costa, Del Norte,

Dorado, Glenn

Humboldt, Lake, Lassen,

shown on the tax form.

Marin, Mendocino

Line 2b.— If requesting a copy or transcript of a joint tax form, enter the second SSN shown

Modoc, Napa, Nevada,

Placer, Plumas,

P.O. Box 9941

Photocopy Unit

on the tax form.

still available for these periods.

Sacramento, San Joaquin,	Stop 6734
Shasta, Sierra, Siskiyou,	Ogden, UT 84409
Solano, Sonoma, Sutter,
Tehama, Trinity, Yolo,
and Yuba), Colorado,
Idaho, Montana
Nebraska, Nevada,
North Dakota, Oregon,

Note: If you do not complete line 1b and, if applicable, line 2b, there may be a delay in processing your request.

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.

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.

Signature.—Requests for copies of tax forms or tax return transcripts to be sent to a third

Washington, Wyoming

South Dakota, Utah,

party must be signed by the person whose

name is shown on line 1a or by a person authorized to receive the requested information.

5045 E. Butler Avenue

California (all other

Photocopy Unit

counties), Hawaii

Stop 52180

Fresno, CA 93888

Copies of tax forms or tax return transcripts

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.
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

for a jointly filed return may be furnished to either the husband or the wife. Only one

Illinois, Iowa, Minnesota, Missouri, Wisconsin

2306 E. Bannister Road

Photocopy Unit

Stop 6700, Annex 1

signature is required. However, see the line

Kansas City, MO 64999

8c instructions. Sign Form 4506 exactly as your name appeared on the original tax form. If you changed your name, also sign your

Alabama, Arkansas

P.O. Box 30309

Louisiana, Mississippi,

Photocopy Unit

North Carolina,

Stop 46

current name.

Tennessee

Memphis, TN 38130

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

Delaware,

District of Columbia

11601 Roosevelt Blvd.

Maryland, Pennsylvania,

Photocopy Unit

Virginia, a

DP 536

required. For more details on who may obtain

F.P.O address

or	or
 A.P.O.

Philadelphia, PA 19255

period for which you want the transcript.

tax information on corporations, partnerships,

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.

estates, and trusts, see section 6103.

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.

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

Note: A tax return transcript does not reflect any changes you or the IRS made to the

Letters Testamentary or other evidence to

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.

original return. If you want a statement of your establish that you are authorized to act for 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

the taxpayer’s estate.
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.

nonfiling.

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.

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.

If you lived in:

Use this address:

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.

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

New Jersey, New York

1040 Waverly Ave.

(New York City and

Photocopy Unit

counties of Nassau,

Rockland, Suffolk, and

Stop 532

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.

Westchester)

Holtsville, NY 11742

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

New York (all other

counties), Connecticut,

310 Lowell St.

Maine, Massachusetts,

Photocopy Unit

New Hampshire

Andover, MA 01810

Stop 679

your return and paying the required fee.

Rhode Island, Vermont

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.

4800 Buford Hwy.

Florida, Georgia,

Photocopy Unit

South Carolina

Stop 91

Doraville, GA 30362

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