Form Ia 4506 - Request For Copy Of Tax Return - 2009

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IA 4506
Iowa Department of Revenue
Request for Copy of Tax Return
Taxpayers’ Names and Address as shown on return:
Mail Photocopies To:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Social Security Number, Fed. I.D.,
Type of Tax (for example,
Daytime Phone Number
Home Phone Number
Sales or Use Tax Permit Number,
sales or income)
Fuel Tax License Number
Copies Requested:
Check if needed for gaming license.
NOTE: Payment must accompany this
Tax Period
Type of Tax Return
request. Requests received without
1. ___________
______________________________________________
payment will be returned to the sender.
2. ___________
______________________________________________
Make checks payable to
3. ___________
______________________________________________
Treasurer - State of Iowa
We cannot accept credit cards.
4. ___________
______________________________________________
DO NOT SEND CASH.
Submit this amount.
Fee is $5 for Each Tax Return. Number of Returns Requested: ____ x $5 = _______
Signature of Taxpayer or Requester: _________________________________ Date _____________
Requester must submit authorization; see instructions.
INSTRUCTIONS
Due to the statute of limitations, we are unable to provide copies of any individual income tax returns which
are more than three years old.
• Use this form to request copies of Iowa returns. Contact the IRS at 1-800-829-1040 for federal returns.
• In order to locate the proper return, we must have the taxpayers’ names, address, and identifying numbers as
they appeared on the return. The required numbers to locate the return are Social Security Number, Federal I.D.
Number, sales/use tax permit number, or motor fuel license number. We also must know the type of tax and tax
period of the returns requested.
• Prepare a separate request for each type of tax return.
• The photocopies will be mailed to the address on the return unless a different address is entered in the “Mail
Photocopies To” portion of this form.
• Please provide a daytime phone number, including area code, where you can be contacted.
• Please enclose a copy of your authorization to receive this information if you are not the taxpayer. We need a
power of attorney, Tax Information Release Authorization, or if the taxpayer is deceased, a certified copy of
your Letter of Administration or Testamentary. If more than a year has passed since the letters were issued, you
must also send a certification by the clerk of court stating they are still in effect.
• The fee for copies of all tax returns is $5 per return. This service is not subject to sales tax.
• A page is the front and back of the return or any supporting schedules attached to the return on which entries
were made. We will not copy the back of a sheet of paper if it only contains instructions.
• If you have questions about what copies you need, call 515/281-
7654 or write Iowa Department of Revenue, Hoover State Office
Mail this form with payment to:
Building, P.O. Box 10413, Des Moines IA 50306-0413.
Request for Copy
• Be sure to sign and date your request. Requests received without
Iowa Department of Revenue
a signature or date will be returned.
P.O. Box 10413
View returns and payments filed through the online
Des Moines IA 50306-0413
eFile & Pay system. Use the View “e” History links on
the Main Menu.
95-504 (08/05/09)

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