REVENUE USE ONLY. 
      Arizona Form                                                                       Do not mark in this area.
                               Request for Copies of Tax Documents
       450
                                                                                         No.   _______________________

       Read instructions on reverse side before completing this form.  Please print or type.

 1   Name(s) as shown on document:                       2 SSN and/or ID number as shown on document:

  A.                                                    A.

  B.                                                    B.

 3   Tax return for period(s):                           4 Tax type.  Check only one:
                                                             Individual Income Tax
                                                             Corporate Income Tax
                                                             Transaction Privilege & Use Tax
When filed:                                                  Withholding
                                                             Other.  Please specify:

 5   Current address:                                    6 Mail copies to: 

  7  Signature:                                         8  Instructions:
                                                           1)  FEES:
                                                                  Full payment must be included with your request.
                                                                  Check or money order only.  Your canceled check 
  PRINT OR TYPE NAME OF REQUESTOR                                 is your receipt.  Check one box below:
                                                                   Uncertified Copy, $5.00 per tax period
                                                                  Certified Copy, $7.00 per tax period
  SIGNATURE OF REQUESTOR
                                                           2)  Mail completed and signed form to: 
                                                                   Arizona Department of Revenue 
   
  TITLE (if applicable)                                           Copy Desk 
                                                                   PO Box 29216 
                                                                   Phoenix, AZ 85038-9216
  DATE                  DAYTIME PHONE (with area code)     3) Please allow ten (10) days for processing after 
                                                                  receipt by the ADOR Copy Desk.
                                                       Print Form

                                  DEPARTMENT OF REVENUE USE ONLY
                                                                      DOCUMENT NUMBER(S)
       Serial Number:                                    
     Amount Received:                                    
       Postmark Date:                                    
       Date Received:                                    
       Date Mailed:                                      
      Billed/Refunded:                                   
       Comments:                                          
   ADOR 10582 (16)

                                                                                                                  Arizona Form 
 Request for Certified Copies of Documents                                                                                        450 
                                                                                   
 Phone Numbers                                                                     The department’s current retention periods for returns of the 
                                                                                   main tax types are as follows: 
 For more information or help, call one of the numbers listed 
 below.                                                                            Individual Income Tax Returns 
 Phoenix                                                           (602) 255-3381  Paper Original 5 years after calendar year received and 
 From area codes 520 and 928, toll-free          (800) 352-4090                                   processed 
                                                                                   Electronic     10 years after calendar month processed 
 For tax rulings, tax procedures, tax forms and instructions, and 
 other tax information, access our home page at www.azdor.gov.                     Microfilm      10 years after calendar year received and 
                                                                                                  processed 
 
 Instructions                                                                      Corporate Income Tax Returns 
                                                                                   Paper Original 5 years after calendar year received and 
 If requesting a document and you are not the taxpayer, you                                       processed 
 must  provide  a  Power  of  Attorney  signed  by  the  taxpayer.                 Electronic     6 years after calendar month processed 
 We will not process this type of request without a Power of                       Microfilm      20 years after calendar year received and 
 Attorney. You can find the department’s Power of Attorney                                        processed 
 forms on our website at www.azdor.gov. 
                                                                                   Transaction Privilege Tax, Use and Severance Tax Returns 
 1 - Name(s)                                                                       Paper Original 6 years after calendar month closed 
 When requesting an individual income tax document, fill in                        Electronic     6 years after date files processed 
 the taxpayer's full name as shown on the original document.                       Withholding Tax Returns 
 If married, put the spouse's name on line B. 
                                                                                   Paper Original 5 years after calendar month closed 
 When  requesting  transaction  privilege,  withholding,  or 
 corporate  income  tax  documents,  fill  in  the  name  of  the                  5 and 6 -Current or Mailing Address             
 business as shown on the original document.                                       Fill  in  your  current  address.  (When  requesting  transaction 
 2 - Identification Number                                                         privilege,  withholding, or corporate income tax documents, 
 When requesting an individual income tax document, fill in                        fill in the business address.) 
 the taxpayer's social security number (SSN) as shown on the                       If different  from  your  current address,  enter  the  address  to 
 original document. If married, put the spouse's SSN on line B.                    which  the  department  should  mail  the  copies.  (If  same  as 
 When  requesting  transaction  privilege,  withholding,  or                       current address, leave blank.) 
 corporate  income  tax  documents,  fill  in  your  state  license                7 - Signature 
 number or employer identification number as shown on the                          Sign and date your request. We will not process your request 
 original document.                                                                if  you  do  not  sign  this  form.  If  you  are  requesting  a 
 3 - Tax Period(s)                                                                 transaction  privilege,  withholding,  or  corporate  income  tax 
                                                                                   document, please fill in your title. We will not process your 
 When requesting individual income or corporate income tax                         request if you do not indicate your title. 
 documents, fill in the year needed and the date the taxpayer 
 filed the document.                                                               8 - Fees 
 
 When  requesting  transaction  privilege  or  withholding  tax                    There is a fee for copies. The fee is $5.00 per tax period for 
 documents,  fill  in  the  period  covered  and  the  date  the                   uncertified  copies  and  $7.00  per  tax  period  for  certified 
 taxpayer filed the document.                                                      copies. Check the appropriate box for the type of copies you 
                                                                                   are  requesting.  Full  payment  must  be  included  with  your 
 4 - Tax Type                                                                      request before the request can be completed. You may pay 
 Check  the  tax type  being  requested. Check  only one  box.                     by  check  or  money  order.  Your  canceled  check  is  your 
 If you are requesting copies for more than one tax type, you                      receipt.  Please allow 10 days for processing. 
 must use a separate form for each tax type.                                       Uncertified vs. Certified: 
                                                                                   Certification  is  confirmation  that  the  copied  tax  documents 
                                                                                   are true and correct.  We will certify your copy by stamping 
                                                                                   the  requested  tax  documents.  Certification  is  usually 
                                                                                   required only for judicial or administrative proceedings. 
                                                                                   
                                                                                   How to File 
                                                                                   
                                                                                   Mail your completed form to: 
                                               Print Instructions                      Arizona Department of Revenue 
                                                                                       Copy Desk 
                                                                                       P O Box 29216 
                                                                                       Phoenix, AZ 85038-9216