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INSTRUCTIONS FOR COMPLETING FORM DO-41
GENERAL INFORMATION PART IV— Signature and Date
Use this form to request copies of filed returns and/or This form must be signed and dated by the taxpayer,
reports filed with the Kansas Department of Revenue. officer for the taxpayer, or authorized tax preparer.
The Kansas Department of Revenue will provide records Enclose your check or money order with this form and
upon a direct match. If you have not provided enough mail it to the following address:
information to establish a direct match, we will contact
Record Requests
you for additional information.
Kansas Department of Revenue
If you request a copy of your federal Corporate PO Box 3506
Income Tax return, we will provide the portion of the Topeka KS 66625-3506
return that was submitted with your Kansas Corporate
Tax return. When your returns/documents have been retrieved, a
copy of them will be mailed to the address you have
No refunds will be issued for requests made in error
provided on this form.
or for returns or reports that are not on file.
If you prefer, you may use air express as a method of
SPECIFIC INSTRUCTIONS delivery, but you will be responsible for the charges.
Payment must be made directly to the delivery service
PART I — Taxpayer Information and you must provide the Kansas Department of
Revenue with a prepaid envelope or an account number
Provide information as requested. Be sure to include
for such delivery.
a daytime phone number and email address in case we
need to reach you during office hours. NOTE: Tax records are considered confidential
documents and are held in strict confidence by law;
PART II — Mailing Information therefore, faxing them is not a delivery option.
If the address provided in PART I is different than the FEE STRUCTURE FOR DOCUMENTS
address where your return(s) are to be mailed, then NOT LISTED ON THIS FORM
complete PART II.
• Copy charge for each page is $0.25
PART III — Tax Return/Document Requested • Search charge (staff time per hour) $25.00
• Computer time (staff time per hour) $60.00
Indicate the return(s) you are requesting by marking
• Mail charge for first 5 pages is $0.40 and $0.25 for
the appropriate box(es) and specifying the tax year(s).
each additional 5 page increments
Mark the “Misc. Tax” box for tax returns not listed and
enter the tax type in the space provided (i.e., liquor Copy and Search Charge Fees: The 25-cent copy charge
enforcement, liquor drink, transient guest, motor fuel, is a per page charge which is principally assessed to
IFTA, etc.); then specify the tax year(s). reimburse the agency for routine costs of retrieving records
For corporate, privilege and small business returns, which are requested with specificity and are held within the
specify the year ending date(s). agency's current file system. It does not include the cost of
To request a copy of a refund check, a tax warrant, a more than one-tenth of an hour of research or access time
Satisfaction of Judgment, or an account transcript, mark required to determine the location of records not readily
the appropriate box and enter the tax type and year. For accessible, to determine what specific records meet
documents that are not listed in this section, mark the request criteria, to segregate public from non-public
“Other” box and provide a description under “Tax Type information, to access records from archives and other
or Document Description.” If the document you are similar necessary services. For such services in providing
requesting can be found, and a copy provided, the access or copies, the $25 per hour search charge may be
Kansas Department of Revenue will use the fee assessed, to be billed by the tenth of an hour.
structure in the next column to compute the amount you Mail Charge Fee: The mail charge may be assessed in
owe and send you a bill. addition to the copy charge when mail service is requested.
Complete Part III by totaling the “Number of Returns” For up to and including the first five pages, 40 cents may
column and the “Amount Due” column. Make your check be charged, plus an additional 25 cents for up to and
or money order payable, in the amount due, to the including each additional five pages.
“Kansas Department of Revenue.”
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