Information Service

Form ****

(March ****)

Department of the Treasury

Internal Revenue Service

Request for Copy of Tax Return

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

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

For more information about Form 4506, visit www.irs.gov/form4506. OMB No. 1545-0429

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 “Get a Tax Transcript or call 1-800-***-****. 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 tax 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 . . . . . . . . . . . . . . . 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 $50 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, ITIN, or EIN and “Form 4506 request” on your check or money order. a Cost for each return . . . . . . . . . . . . . . . . . . . . . . . . . . . $ b Number of returns requested on line 7 . . . . . . . . . . . . . . . . . . . . . . c Total cost. Multiply line 8a by line 8b . . . . . . . . . . . . . . . . . . . . . . $ 9 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 . . . . . 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, at least one spouse must sign. If signed by a corporate officer, 1 percent or more shareholder, partner, managing member, 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: This form must be received by IRS within 120 days of the signature date. Signatory attests that he/she has read the attestation clause and upon so reading declares that he/she has the authority to sign the Form 4506. See instructions. Sign

Here

Phone number of taxpayer on line

1a or 2a

Signature (see instructions) Date

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

Spouse’s signature Date

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 41721E Form 4506 (Rev. 3-2019) Form 4506 (Rev. 3-2019) Page 2

Section references are to the Internal Revenue Code unless otherwise noted.

Future Developments

For the latest information about Form 4506 and its instructions, go to www.irs.gov/form4506.

Information about any recent developments affecting Form 4506, Form 4506-T and Form 4506T-EZ will be

posted on that page.

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 75

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 nonfiling, and records 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

“Get a Tax Transcript or call 1-800-***-****.

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 are requesting a return for more than one

year or period and the chart below shows two

different addresses, send your request to the

address based on the address of your most recent

return.

Chart for individual returns

(Form 1040 series)

If you filed an

individual return

and lived in:

Mail to:

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

Internal Revenue Service

RAIVS Team

Stop 6716 AUSC

Austin, TX 73301

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

Internal Revenue Service

RAIVS Team

Stop 37106

Fresno, CA 93888

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

Internal Revenue Service

RAIVS Team

Stop 6705 S-2

Kansas City, MO

64999

Chart for all other returns

If you lived in

or your business

was in:

Mail to:

Alabama, Alaska,

Arizona, Arkansas,

California, Colorado,

Connecticut, Delaware,

District of Columbia,

Florida, Georgia, Hawaii,

Idaho, Illinois, Indiana,

Iowa, Kansas, Kentucky,

Louisiana, Maine,

Maryland,

Massachusetts,

Michigan, Minnesota,

Mississippi,

Missouri, Montana,

Nebraska, Nevada, New

Hampshire, New Jersey,

New Mexico, New York,

North Carolina,

North Dakota, Ohio,

Oklahoma, Oregon,

Pennsylvania, Rhode

Island, South Carolina,

South Dakota,

Tennessee, Texas, Utah,

Vermont, Virginia,

Washington, West

Virginia, Wisconsin,

Wyoming, 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

Internal Revenue Service

RAIVS Team

P.O. Box 9941

Mail Stop 6734

Ogden, UT 84409

Specific Instructions

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.

Line 3. Enter your current address. If you use a P.O. box, please include it on this line 3.

Line 4. Enter the address shown on the last return filed if different from the address entered on line 3. Note: If the addresses on lines 3 and 4 are different and you have not changed your address with the

IRS, file Form 8822, Change of Address. For a

business address, file Form 8822-B, Change of

Address or Responsible Party — Business.

Signature and date. Form 4506 must be signed and

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

!

CAUTION

You must check the box in the

signature area to acknowledge you

have the authority to sign and request

the information. The form will not be

processed and returned to you if the box is

unchecked.

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.

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. A bona fide shareholder of record

owning 1 percent or more of the outstanding stock

of the corporation may submit a Form 4506 but must provide documentation to support the requester's

right to receive the information.

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.

Note: If you are Heir at law, Next of kin, or

Beneficiary you must be able to establish a material interest in the estate or trust.

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 5a. 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 Forms and Publications Division

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.

Contact this candidate