Fillable Form L-72 - Request For Copies Of Income Tax Return

Form L-72 - Request For Copies Of Income Tax Return - 2006

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FORM L-72

STATE OF HAWAII—DEPARTMENT OF TAXATION

(REV. 2006)

REQUEST FOR COPIES OF INCOME TAX RETURN

Date: ___________________________

IMPORTANT: Please read the instructions on the reverse side before completing this form.

PLEASE PRINT

1. Name of Taxpayer(s) as Shown on Tax Return

3. Social Security No./Federal Employer Identification No. (See instructions)

2. Current Name and Address

4. Spouse’s Social Security Number

Check this box if this address is different from your most current tax return filed

5. Tax form number (Form N-11, N-12, N-13, etc.)

Account Number (For office use only)

6. Tax Year (Attach additional Forms L-72 if more than 3)

(A)

(B)

(C)

Telephone Number of Requestor:

(Check One)

Regular Copies

Business: (

)

Certified Copies

Home:

(

)

8. If copy of income tax return is to be mailed to someone else, enter that person’s name and address:

I declare that I am either the taxpayer whose name is shown on line 1 or a person authorized to obtain the tax information requested. I am aware that based upon this

form, the Department of Taxation will release the tax return requested to the person shown on line 8 (if applicable). The Department of Taxation has no control over

what that person does with the information.

Signature:

Date:

Print Name:

Title:

GOVERNMENT AGENCIES ONLY

(Check box)

Name of Requestor :

Photocopy

Review Only

(IRS only)

Department of Requestor: