Enlarge image | 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 1 1 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 51 0 0 0 4 4 4 4 0 0 0 0 5 5 5 5 0 Form 0 0 0 6 6 6 6 0 Request for Photocopy of Missouri Income 0 0 0 7 7 7 7 0 1937 Tax Return or Property Tax Credit Claim 0 0 0 8 8 8 8 0 0 0 0 9 9 9 9 0 1 1 1 0 0 0 0 1 Social Security Number Spouse’s Social Security Number 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 1 - - - - 1 1 1 3 3 3 3 1 Taxpayer Name Spouse’s Name 1 1 1 4 4 4 4 1 1 1 1 5 5 5 5 1 1 1 1 6 6 6 6 1 Address on Return As Filed City State ZIP Code 1 1 1 7 7 7 7 1 1 1 1 8 8 8 8 1 1 1 1 9 9 9 9 1 Present Address (If Different) City State ZIP Code 2 2 2 0 0 0 0 2 2 2 2 1 1 1 1 2 2 2 2 2 2 2 2 2 Tax Year(s) Requested 2 2 2 3 3 3 3 2 2 2 2 4 4 4 4 2 2 2 2 5 5 5 5 2 All correspondence will be released to the person authorized below. Release of this information to a third party (such as 2 2 2 6 6 6 6 2 an accountant) at the request of the taxpayer does not give the third party authority to request further information, from the 2 2 2 7 7 7 7 2 Department. To obtain additional information or to represent the taxpayer before the Department, the taxpayer must execute a Power of Attorney 2 2 2 8 8 8 8 2 Form 2827 designating the third party person as their representative. 2 2 2 9 9 9 9 2 Name of Person Authorized to Receive this Infomation Title Telephone Number 3 3 3 0 0 0 0 3 3 3 3 1 1 1 1 3 3 3 3 2 2 2 2 3 Street Address City State ZIP Code 3 3 3 3 3 3 3 3 Authorization 3 3 3 4 4 4 4 3 3 3 3 5 5 5 5 3 Email Address 3 3 3 6 6 6 6 3 3 3 3 7 7 7 7 3 3 3 3 8 8 8 8 3 Under penalties of perjury, I declare that the above information is true, complete and correct. 3 3 3 9 9 9 9 3 4 4 4 0 0 0 0 4 Taxpayer Signature Date (MM/DD/YYYY) Telephone Number 4 4 4 1 1 1 1 4 4 4 4 2 2 2 2 4 4 4 4 3 3 3 3 4 Signature Spouse’s Signature (required if a joint tax return) Date (MM/DD/YYYY) Email Address 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 4 4 4 4 6 6 6 6 4 4 4 4 7 7 7 7 4 Comments 4 4 4 8 8 8 8 4 4 4 4 9 9 9 9 4 4 4 4 0 0 0 0 4 5 5 5 1 1 1 1 5 5 5 5 2 2 2 2 5 5 5 5 3 3 3 3 5 Department Use Only 5 5 5 4 4 4 4 5 5 5 5 5 5 5 5 5 The confidentiality provisions of the Missouri income tax law protect you by prohibiting other persons from obtaining information 5 5 5 6 6 6 6 5 contained on your tax return or property tax credit claim(s). In compliance with these provisions, please complete this form to obtain a 5 5 5 7 7 7 7 5 copy of your tax return(s). 5 5 5 8 8 8 8 5 5 5 5 9 9 9 9 5 Form 1937 (Revised 12-2023) 5 5 5 0 0 0 0 5 Mail to: Missouri Department of Revenue E-mail: TaxForms@dor.mo.gov Taxation Division 6 6 6 1 1 1 1 6 Visitdor.mo.gov/faq/personal/indiv.php P.O. Box 3022 6 6 6 2 2 2 2 6 Jefferson City, MO 65105-3022 for additional information. 6 6 6 3 3 3 3 6 6 6 6 4 4 4 4 6 *17354010001* 6 6 6 5 5 5 5 6 17354010001 6 6 666 6 6 6 |
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