Form Ri-4506 - Request For Copy Of Income Tax Return(S) printable pdf download

Form Ri-4506 - Request For Copy Of Income Tax Return(S)

RI-4506

STATE OF RHODE ISLAND

DIVISION OF TAXATION

REQUEST FOR COPY OF INCOME TAX RETURN(S)

Name(s) of taxpayer(s) as shown on tax return:

________________________________________________________________________

Current address of taxpayer(s):

__________________________________________

Telephone Number: ______________________________

Type of Tax: Personal Income Tax

Tax Form Number: ________________________________

Tax Period(s): ____________________________________

Social Security Number: ____________________________

Spouse’s Social Security Number: ____________________



Certified Copy

or Photo Copy

This is a request for a copy of the above form(s) and all attachments.

___________________________________________

_________________

Signature

Date

___________________________________________

_________________

Spouse’s Signature (if applicable)

Date

______________

COPY CHARGE = $3.00 PER TAX RETURN

Total Enclosed

Make check payable to:

Rhode Island Division of Taxation

One Capitol Hill

Providence, RI 02908-5800

FULL PAYMENT MUST ACCOMPANY THIS REQUEST

THE TAX DIVISION DOES NOT MAIL TO THIRD PARTIES

PLEASE ENCLOSE A SELF-ADDRESSED STAMPED ENVELOPE

THE ENVELOPE ADDRESS MUST BE THE SAME AS THE CURRENT ADDRESS ABOVE

Rev. 8/2005

Form Ri-4506 - Request For Copy Of Income Tax Return(S)