PDF document

- 1 -

ALABAMA DEPARTMENT OF REVENUE RESET
FORM INCOME TAX ADMINISTRATION DIVISION
P.O. Box 327410 • Montgomery, AL 36132-7410
4506-AREV. 12/20
Request for Copy of Tax Form or

Individual Income Tax Account Information
IMPORTANT: Before completing this form, please read all instructions. Type or print all information.
1. Name and address of taxpayer(s) as shown on return. 5. Social security or employer identification number
as shown on tax return

6. Spouse’s social security number as shown on
tax return
2. Current name and address.

7. Tax form number (Form 40A, 40, 65, 20C, CPT, PPT,
etc.)

3. Third party’s name and address (if the information is to be mailed to someone else). 8. Tax period(s) (No more than 4 per request)

9. Amount due (check, money order, or cashier’s check
made payable to the Alabama Department of
4. Name in third party’s records (if different from name in Item 1). (See instructions for Item 3) Revenue)

$_____________________
Note: Full payment must accompany your request
10. (Check only one box)

$5.00 each 6 Copy of tax return and all attachments.
Indicate Note: If you need these copies certified for court or Please Allow
What You t administrative proceedings, check here 6 also. 8 to 10 Weeks
Are Requesting For Processing
No charge 6 Amount of refund and/or interest received.

No charge 6 Amount of tax due and/or interest paid.

Please
Sign
t t t
Here
Your Signature Date Spouse’s Signature

Telephone number of requester (_________)_______________________________ Convenient time for us to call ____________________________

FOR OFFICIAL REPLY ONLY – Do not write in this space
Date of Reply REFUNDS YOU RECEIVED TAXES YOU PAID
______________ , ______ Tax Tax Interest Date Tax Interest Penalty Date
Year
Rev. by _______________ Amount Amount Paid Amount Amount Amount Paid

- 2 -

                     Instructions For Completing Form 4506-A

Fill out this form completely. Incomplete forms will         ITEM 8.         Enter the tax period. For fiscal-year filers,
not be processed. Use this form to request a copy of a tax   enter the date the period ended. If you need more than
return or individual income tax account information.         four different returns, use additional request forms.
Please allow eight to 10 weeks for processing.               Generally the Department will have copies of returns and
                                                             tax account information available for the previous 10
If you are not the taxpayer listed in Item 1, you must
                                                             years.
send a copy of your authorization to receive the informa-
tion. Examples of authorization are a power of attorney or   ITEM 9. Use the following table to figure how much
evidence of entitlement (for Title 11 Bankruptcy or          money you must send with your request:
Receivership Proceedings). If the taxpayer is deceased,      Type of Request                Cost for each period requested
send proof that you are entitled to act for the taxpayer's
                                                             Copy of tax return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $5.00
estate.
                                                             Amount of refund and/or interest received . . . . No Charge
Tax returns and account information about joint              Amount of tax due and/or interest paid . . . . . . . No Charge
returns may be given to either the husband or the wife.
                                                             Example:
Only one signature is required. If your name has changed,
sign Form 4506-A exactly as your name appeared on the        If you need a copy of your 2010 and 2011 returns,
return.                                                      check the first box in Item 10. Your cost will be $10.00
                                                             ($5.00 x 2).
Corporations, Partnerships, Estates, and Trusts – For
information about who may obtain tax information, see        Write your social security number or Federal employ-
Internal Revenue Code section 6103.                          er identification number and “Form 4506-A Request” on
                                                             your payment and make payable to the Alabama Depart -
ITEM 3. If you have named someone else to receive
                                                             ment of Revenue. If we cannot fill your request, we will
information about you (such as a CPA, scholarship board,
                                                             refund your money.
or mortgage issuer), list that person's name and address
here. (You must give an individual’s name.)                  ITEM 10.        In addition to a copy of a return, we can
                                                             provide two other types of information:
ITEM 4. Write the name of the client, student or
applicant if it is different from the name listed in Item 1. (1) Amount of refund and/or interest received: This
For example, Item 1 may be the parents of a student          would be the amount of refund shown on the return of
applying for financial aid. Show the student's name on       the year(s) requested plus any interest paid to you.
Line 4 so the scholarship board can associate the tax
                                                             (2) Amount of tax due and/or interest paid:         This
return with their file. If we cannot find a record of the tax
                                                             would be the amount of tax due on the tax return of the
return, we will notify the third party directly that we can-
                                                             year(s) requested plus any interest that you paid to the
not fill the request.
                                                             State.
ITEM 5. For individuals, the social security number is
                                                             Mail to: Alabama Department of Revenue
written 000-00-0000. For businesses and certain others, the
                                                                             Income Tax Administration Division
employer identification number is written 00-0000000.
                                                                             P.O. Box 327410
Please separate the nine digits as shown to distinguish the
                                                                             Montgomery, AL 36132-7410
type of number being reported.

PDF file checksum: 2271924198

(Plugin #1/9.12/13.0)