Form 4506 (Rev. January 2010)

Form

4506

(Rev. January 2010)

Department of the Treasury

Internal Revenue Service

Request for Copy of Tax Return

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

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 call 1-800-829-1040 to order a transcript.

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

1b First social security number on tax return or

employer identification number (see instructions)

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

2b Second social security number if joint tax return

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

4 Previous address shown on the last return filed if different from line 3

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. The IRS has no control over what the third party does with the tax return.

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

have filled in these lines. Completing these steps helps to protect your privacy.

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 . . . . . . . . . . . . . . .

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.

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.

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

57.00

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 . . . . .

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 signature date.

Telephone 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

Date

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

Cat. No. 41721E

Form 4506 (Rev. 1-2010)

Page 2

General Instructions

Section references are to the Internal

Revenue Code.

Purpose of form. Use Form 4506 to request

a copy of your tax return. You can also

designate a third party to receive the tax

return. See line 5.

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 call

1-800-829-1040 to order a transcript through

the automated self-help system. Follow

prompts for "questions about your tax

account" to order a tax return transcript.

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 and the chart below shows two

different RAIVS teams, send your request to

the team 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 the

“Internal Revenue

Service” at:

Florida, Georgia,

North Carolina,

South Carolina

RAIVS Team

P.O. Box 47-421

Stop 91

Doraville, GA 30362

Alabama, Kentucky,

Louisiana, Mississippi,

Tennessee, Texas, a

foreign country, or

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

address

RAIVS Team

Stop 6716 AUSC

Austin, TX 73301

Alaska, Arizona,

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

RAIVS Team

Stop 37106

Fresno, CA 93888

Arkansas,

Connecticut,

Delaware, District of

Columbia, Maine,

Maryland,

Massachusetts,

Missouri, New

Hampshire, New

Jersey, New York,

Ohio, Pennsylvania,

Rhode Island,

Vermont, Virginia,

West Virginia

RAIVS Team

Stop 6705 P-6

Kansas City, MO

64999

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,

Tennessee, 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

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, Vermont,

Virginia, West

Virginia, Wisconsin

RAIVS Team

P.O. Box 145500

Stop 2800 F

Cincinnati, OH 45250

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) shown on the

return. For example, if you are requesting

Form 1040 that includes Schedule C (Form

1040), enter your SSN.

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.

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.

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. 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, and

the District of Columbia 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:T:SP, 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.