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) and address of taxpayer(s)

as shown on tax return: _____________________________________

_____________________________________

Current address of taxpayer(s)

if different from above: ______________________________________

______________________________________

Telephone Number:

______________________________

Type of Tax: Personal Income Tax

Tax Form Number: ________________________________

Tax Year(s): ____________________________________

Social Security Number: ____________________________

Date of Birth: _________________

Spouse’s Social Security Number: ____________________

Date of Birth: _________________

Certified Copy

Photo Copy

Transcript of Account

$3.00 Charge

No Charge

Per Return

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

___________________________________________

_________________

Signature

Date

___________________________________________

_________________

Spouse’s Signature (if applicable)

Date

______________

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

Rev.3/6/2008

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