EFTA01279830.pdf

Form 4506-T Request for Transcript of Tax Return
(Rev. September 2013)
Department of Iho Treasury Ito Request may be rejected if the form is Incomplete or Illegible. we No 1645.1872
lel anal Revenue Sonko 420361321
Tip: Use Form 4506- T to order a transcript or other return Information free of charge. See the product list below. You can quickly request
transcripts by using our a lomat ed sett-help service tools. Pleasevisit us at 1FtS.gov and Nick on "Order a Return or Account Transcript" or
cal 1.800.908.9946. If you need a copy of your return, use Form 4606, Request for Copy of Tax Return. There Is a fee to get a copy of
your return,
is Name shown on I ex return. it a joint return, ant er the name shown f nat. lb First social security number on tax return.
Indit4dual taxpayer Identification number, or
number Nee Instructions)
IIIIIIIIIIIIII . e's name shown on t ax return y numberor Individual
taxpayer Identification numbed( joint tax return
3 Current name.address finclud.ne ant rnnm or time, na 1 My .-ogeo, and ZIP codo (see Instructions)
(see Instructions)
If the transcript or tax Information Is to be mailed to a third party (such as a mortgage company), enter the third party's name, address,
and to'ephone number.
Caution:ifMe tax transcript is being malted toe third party. ensure that you have fared In lines 6 through 9 bat ore signing. S tan and date the
form once you have filled In these lines. Completing these steps helps to protect your privacy. Once the IRS dscloses your tax transcript to
the third party listed on line 5, the IRS has no control over what the thin/party don lath the information. If you would like to limit the third
party's authority to stolen your transcript Information, you can specify this irritation In your wane° agreement toil h the third party.
6 Transcript requested. Enter the tax form number here (1040, 1065, 1120, et c.) and check the appropriate box below. Enter only one tax
form number per request. ► 1040,e/2,1099
a Return Transcript, which includes most of the line Items of a tax return as filed with the IRS. A tax return transcript does not reflect
changes made to the account alter the return Is processed. Transcripts are only available for the following returns: Form 1040 series,
Form 1065, Form 1120, Form 1120A , Form 112011, Form 11201, and Form 11205 . Return transcripts are tweed° for the current
year and returns processed during the prior 3 processing years. Most requestsv.4n be processed wit Mil 10 business days_ _
b Account Transcript, which contains information on the financial status of the account, such as payments made on the account.
penal y assessments, and adjustments made by you or the IRS after the return was Med. Return Information Is limited to Items such as
tax liabilty and estimated lax payments. Account transcripts are available for most returns. Most requests will be processed within 10
beakless days DE
c Record of Account, which provides the most detailed Information as l is a combination of the Return Transcript and the Account
Transcript. Available for current year and 3 prior tax years. Most requests wilt be processed wit bin 10 business days
7 Verification of Nonliling,whkh Is proof from the IRS that you did not file a return for the year. Current year requests are only available
after June 15th There are no availability restrict Ions on prior year requests. Most requestswil be processed within 10 businessdays.
8 Form W.2, Form 1099 series, Form 1098 series, or Form 6498 series transcript. The IRS can provide a transcript that includes
data from these Information returns. Slate or local Information Is not Included w Ith the Form W-2 Information. The IRS may be able
to provide this transcript Information for up to 10 years. Information for the current year Is generaly not available until the year
after it Is filed with the IRS. For example, W2 Information for 2011, hied In 2012, wil Rely not be available from the IRS uMil
2013. If you need W-2 Information for retirement purposes, you should contact the Social Security Administration at
1.4100.772. 1213. Mos t requests will bo processed within 10 bus bless days al
Caution: If you need a copy of Form W.2 or AVM 1099, you should first contact the payer. To got a copy of the Form W-2 or Form
1099 f fled with your return, you must use Form 4506 and request a copy of your return, tvhkh Includes all attachments.
9 Year or period requested. Enter the ending date of the year or period, using the miniddly yyy formal. If you are requesting more than four
years or periods, you must attach another Form 45064. For requests relating to quarterly tax returns, such as Form 941, you must
enter each quarter or lax period separately. 12/31/2013 12/31/2012 12/31/2011 12/31/2010
Check this box if you have notified the IRS or the IRS has notified you that one of the years for which you are requestbg a
transcript Involved Identity theft on your federal lax return IM
Caution. Do not sign this form unless all applicable foes have been ©owlet ed.
Signature of taxpayer(s). I declare that I am either the taxpayer whose name Is shown on line la or 2a or a rson authorized to obtain the
lax Information requested. If the request apples to a joint return, at least ono spouse must sign. If signed a corporate officer, partner,
guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer. I rtify that I have the authority
to execute Form 4506-1- on behalf of the taxpayer. Note. For transcripts being tent to a third party, this form must be received within 120
days of the signature date.
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Phone number of taxpayer on
121.119
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Sign
Here line (4 brio to above Fs a orporabon, peen ersbn, eve to, or trust)
Spouses signature Dato
For Privacy Act and Paperwork Reducton Act Notice, see page 2. Cal. No. 3766714 Fpm 4689-T (Rev. 9.2013)
bolters Nowa Finnan Services W090457(1405)
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EFTA01279830

Form 4508.1( Rev. 9.2013)
Section references eve to me Internal Revenue Pam 2
Code unless otherwise noted. Chart for all other transcripts Partnerships. Goners y, Fern 45064 can be
Future Developments signed by any person who was a member of the
If you Med i Mall or fax to patio ershlp during any pad of the lax period
Foe Melded Informal:mahout Form 4506.1a nd yourbusiness requested on Ono 9.
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Purpose of form Use Form 4508-1 to request New Mexico, North Ogden, UT 84409 from rho principal arbor outhoikkm an
tax return Informaron. You can also designate Dakota, Oklahoma, employee of the corpomfon or the tellers
(on Me 5)o third party to receive Oro information. Oregon. South Dakota, testamentary authorizing an Individual to oat for
Taxpayers using a tax year beginning in one Texas, Utah, an estate.
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Okla, Indiana, Form 4508-1.
lip. Use Form 4508, Request for ropy of Tax Kentucky. Matte,
Rdurn, fo request copies of tax returns. Marytand, 'Moral Revenue Service Privacy Act and Paperwork Reduction Act
Automated transcript request. You can Massachusetts, RAIVS Teem Notice. Inb ask for the information en this form
quickly request transcripts by 'sing our Michigan, New P.O. Box 146500 to ostab5sh your right to gab access to the
automated Solf•help servo fools. Pinto vis1 us Hampshko. New Jersey, Stop 2800 F requested lax informaten under the Internal
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SWOOP, Puerto Rico, Line 6. Enter only ono tax form number per become material In the administration of any
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Conunenwealls of the Signature and date. Form 4506.7 must be return Information aro confidenlial as required
Northern Marian Islands, signed end dated by the taxpayer fated on Meta by section 6103.
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Colorado, Hayek. Idaho, RAIVS Team before signing. Copying,assembling and serving the form
K b a o n o s k as , , I n M d i i c a h n i a g , a I n o , w a, F S i t o o s p n 3 o 7 . C 10 A 6 0 3888 Individuals Tronsaipts of jointly red lax to the IRS, 20 min.
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Nebraska, Nevada, Nays ono egneleto Is required. Sign Form 4506.1 accuracy of these tine estimates or suggestions
Moxbo, North Dakota, coscly as your name appeared on the inland for making Form 4508.1s impler, wo would bo
Oklahoma, Oregon. South return. Ir you changed your name, mho sign your happy to hear from you. You can wrap to:
Dakota, Utah. current name. Internal Revenue Scribe
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