Fill - Free fillable 4506-T Request for Transcript of Tax Return PDF form

Form

4506-T

(September 2018)

Department of the Treasury

Internal Revenue Service

Request for Transcript of Tax Return

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Do not sign this form unless all applicable lines have been completed.

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Request may be rejected if the form is incomplete or illegible.

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For more information about Form 4506-T, visit www.irs.gov/form4506t.

OMB No. 1545-1872

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 automated self-help service tools. Please visit us at IRS.gov and click on “Get a Tax Transcript...” under “Tools” or call 1-800-908-9946. If you need a copy

of your return, use Form 4506, Request for Copy of Tax Return. There is a fee to get a copy of your return.

1a Name shown on tax return. If a joint return, enter the name

shown first.

1b First social security number on tax return, individual taxpayer identification

number, or employer identification number (see instructions)

2a If a joint return, enter spouse’s name shown on tax return.

2b Second social security number or individual taxpayer

identification number if joint tax return

3 Current name, address (including apt., room, or suite no.), city, state, and ZIP code (see instructions)

4 Previous address shown on the last return filed if different from line 3 (see instructions)

5a 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 telephone number.

5b Customer file number (if applicable) (see instructions)

Caution: If the tax transcript is being mailed to a third party, ensure that you have filled in lines 6 through 9 before signing. Sign and date the form once

you have filled in these lines. Completing these steps helps to protect your privacy. Once the IRS discloses your tax transcript to the third party listed

on line 5, the IRS has no control over what the third party does with the information. If you would like to limit the third party’s authority to disclose your

transcript information, you can specify this limitation in your written agreement with the third party.

Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one tax form

number per request.

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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 after the return is processed. Transcripts are only available for the following returns: Form 1040 series,

Form 1065, Form 1120, Form 1120-A, Form 1120-H, Form 1120-L, and Form 1120S. Return transcripts are available for the current year

and returns processed during the prior 3 processing years. Most requests will be processed within 10 business days . . . . . .

Account Transcript, which contains information on the financial status of the account, such as payments made on the account, penalty

assessments, and adjustments made by you or the IRS after the return was filed. Return information is limited to items such as tax liability

and estimated tax payments. Account transcripts are available for most returns. Most requests will be processed within 10 business days .

c Record of Account, which provides the most detailed information as it is a combination of the Return Transcript and the Account

Transcript. Available for current year and 3 prior tax years. Most requests will be processed within 10 business days . . . . . .

7 Verification of Nonfiling, which 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 restrictions on prior year requests. Most requests will be processed within 10 business days . .

Form W-2, Form 1099 series, Form 1098 series, or Form 5498 series transcript. The IRS can provide a transcript that includes data from

these information returns. State or local information is not included with 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 generally not available until the year after it is filed with the IRS. For

example, W-2 information for 2011, filed in 2012, will likely not be available from the IRS until 2013. If you need W-2 information for retirement

purposes, you should contact the Social Security Administration at 1-800-772-1213. Most requests will be processed within 10 business days .

Caution: If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099 filed

with your return, you must use Form 4506 and request a copy of your return, which includes all attachments.

9 Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than four

years or periods, you must attach another Form 4506-T. For requests relating to quarterly tax returns, such as Form 941, you must enter

each quarter or tax period separately.

Caution: Do not sign this form unless all applicable lines have been completed.

Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a or 2a, or a person authorized to obtain the tax

information requested. If the request applies to a joint return, at least one spouse must sign. If signed by a corporate officer, 1 percent or more

shareholder, partner, managing member, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I

certify that I have the authority to execute Form 4506-T on behalf of the taxpayer. Note: This form must be received by IRS within 120 days of the

signature date.

Signatory attests that he/she has read the attestation clause and upon so reading declares that he/she

has the authority to sign the Form 4506-T. See instructions.

Phone number of taxpayer on line

1a or 2a

Sign

Here

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Signature (see instructions) Date

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Title (if line 1a above is a corporation, partnership, estate, or trust)

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Spouse’s signature Date

For Privacy Act and Paperwork Reduction Act Notice, see page 2.

Cat. No. 37667N

Form 4506-T (Rev. 9-2018)

/ / / / / / / /

TALX Corporation, a provider of Equifax Verification Services, 11432 Lackland Rd., St. Louis, MO 63146

✔

Form 4506-T (Rev. 9-2018)

Page 2

Section references are to the Internal Revenue Code unless

otherwise noted.

Future Developments

For the latest information about Form 4506-T and its

instructions, go to www.irs.gov/form4506t. Information about

any recent developments affecting Form 4506-T (such as

legislation enacted after we released it) will be posted on that

page.

What's New. The transcripts provided by the IRS have been

modified to protect taxpayers' privacy. Transcripts only

display partial personal information, such as the last four

digits of the taxpayer's Social Security Number. Full financial

and tax information, such as wages and taxable income, is

shown on the transcript.

A new optional Customer File Number field is available to use

when requesting a transcript. You have the option of

inputting a number, such as a loan number, in this field. You

can input up to 10 numeric characters. The customer file

number should not contain an SSN. This number will print on

the transcript. The customer file number is an optional field

and not required.

General Instructions

Caution: Do not sign this form unless all applicable lines

have been completed.

Purpose of form. Use Form 4506-T to request tax return

information. You can also designate (on line 5) a third party to

receive the information. Taxpayers using a tax year beginning

in one calendar year and ending in the following year (fiscal

tax year) must file Form 4506-T to request a return transcript.

Note: If you are unsure of which type of transcript you need,

request the Record of Account, as it provides the most

detailed information.

Tip. Use Form 4506, Request for Copy of

Tax Return, to request copies of tax returns.

Automated transcript request. You can quickly request

transcripts by using our automated

self-help service tools. Please visit us at IRS.gov and click on

“Get a Tax Transcript...” under “Tools” or call

1-800-908-9946.

Where to file. Mail or fax Form 4506-T to

the address below for the state you lived in,

or the state your business was in, when that return was filed.

There are two address charts: one for individual transcripts

(Form 1040 series and Form W-2) and one for all other

transcripts.

If you are requesting more than one transcript or other

product and the chart below shows two different addresses,

send your request to the address based on the address of

your most recent return.

Chart for individual transcripts

(Form 1040 series and Form W-2

and Form 1099)

If you filed an

individual return and

lived in:

Mail or fax to:

Alabama, Kentucky, Louisiana,

Mississippi, Tennessee,

Texas, a foreign country,

American Samoa, Puerto Rico,

Guam, the Commonwealth of

the Northern Mariana Islands,

the U.S. Virgin Islands, or

A.P.O. or F.P.O. address

Internal Revenue Service

RAIVS Team

Stop 6716 AUSC

Austin, TX 73301

855-587-9604

Alaska, Arizona, Arkansas,

California, Colorado, Hawaii,

Idaho, Illinois, Indiana, Iowa,

Kansas, Michigan, Minnesota,

Montana, Nebraska, Nevada,

New Mexico, North Dakota,

Oklahoma, Oregon, South

Dakota, Utah, Washington,

Wisconsin, Wyoming

Internal Revenue Service

RAIVS Team

Stop 37106

Fresno, CA 93888

855-800-8105

Connecticut, Delaware, District

of Columbia, Florida, Georgia,

Maine, Maryland,

Massachusetts, Missouri, New

Hampshire, New Jersey, New

York, North Carolina, Ohio,

Pennsylvania, Rhode Island,

South Carolina, Vermont,

Virginia, West Virginia

Internal Revenue Service

RAIVS Team

Stop 6705 P-6

Kansas City, MO 64999

855-821-0094

Chart for all other transcripts

If you lived in

or your business was

in:

Mail or fax to:

Alabama, Alaska, Arizona,

Arkansas, California,

Colorado, Florida, Hawaii,

Idaho, Iowa, Kansas,

Louisiana, Minnesota,

Mississippi,

Missouri, Montana,

Nebraska, Nevada, New

Mexico,

North Dakota, Oklahoma,

Oregon, South Dakota,

Texas, Utah, Washington,

Wyoming, a foreign country,

American Samoa, Puerto

Rico, Guam, the

Commonwealth of the

Northern Mariana Islands,

the U.S. Virgin Islands, or

A.P.O. or F.P.O. address

Internal Revenue Service

RAIVS Team

P.O. Box 9941

Mail Stop 6734

Ogden, UT 84409

855-298-1145

Connecticut, Delaware,

District of Columbia,

Georgia, Illinois, Indiana,

Kentucky, Maine, Maryland,

Massachusetts, Michigan,

New Hampshire, New

Jersey, New York, North

Carolina,

Ohio, Pennsylvania, Rhode

Island, South Carolina,

Tennessee, Vermont,

Virginia, West Virginia,

Wisconsin

Internal Revenue Service

RAIVS Team

P.O. Box 145500

Stop 2800 F

Cincinnati, OH 45250

855-800-8015

Line 1b. Enter your employer identification number (EIN) if

your request relates to a business return. Otherwise, enter the

first social security number (SSN) or your individual taxpayer

identification number (ITIN) shown on the return. For

example, if you are requesting Form 1040 that includes

Schedule C (Form 1040), enter your SSN.

Line 3. Enter your current address. If you use a P.O. box,

include it on this line.

Line 4. Enter the address shown on the last return filed if

different from the address entered on line 3.

Note: If the addresses on lines 3 and 4 are different and you

have not changed your address with the IRS, file Form 8822,

Change of Address. For a business address, file Form 8822-

B, Change of Address or Responsible Party — Business.

Line 5b. Enter up to 10 numeric characters to create a unique

customer file number that will appear on the transcript. The

customer file number should not contain an SSN.

Completion of this line is not required.

Note. If you use an SSN, name or combination of both, we

will not input the information and the customer file number

will be blank on the transcript.

Line 6. Enter only one tax form number per

request.

Signature and date. Form 4506-T must be signed and dated

by the taxpayer listed on line 1a or 2a. The IRS must receive

Form 4506-T within 120 days of the date signed by the

taxpayer or it will be rejected. Ensure that all applicable lines

are completed before signing.

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CAUTION

You must check the box in the signature area

to acknowledge you have the authority to sign

and request the information. The form will not

be processed and returned to you if the

box is unchecked.

Individuals. Transcripts of jointly filed tax returns may be

furnished to either spouse. Only one signature is required.

Sign Form 4506-T exactly as your name appeared on the

original return. If you changed your name, also sign your

current name.

Corporations. Generally, Form 4506-T can be signed by:

(1) an officer having legal authority to bind the corporation, (2)

any person designated by the board of directors or other

governing body, or (3) any officer or employee on written

request by any principal officer and attested to by the

secretary or other officer. A bona fide shareholder of record

owning 1 percent or more of the outstanding stock of the

corporation may submit a Form 4506-T but must provide

documentation to support the requester's right to receive the

information.

Partnerships. Generally, Form 4506-T can be signed by

any person who was a member of the partnership during any

part of the tax period requested on line 9.

All others. See section 6103(e) if the taxpayer has died, is

insolvent, is a dissolved corporation, or if a trustee, guardian,

executor, receiver, or administrator is acting for the taxpayer.

Note: If you are Heir at law, Next of kin, or Beneficiary you

must be able to establish a material interest in the estate or

trust.

Documentation. For entities other than individuals, you

must attach the authorization document. For example, this

could be the letter from the principal officer authorizing an

employee of the corporation or the letters testamentary

authorizing an individual to act for an estate.

Signature by a representative. A representative can sign

Form 4506-T for a taxpayer only if the taxpayer has

specifically delegated this authority to the representative on

Form 2848, line 5. The representative must attach Form 2848

showing the delegation to Form 4506-T.

Privacy Act and Paperwork Reduction Act Notice. We ask

for the information on this form to establish your right to gain

access to the requested tax information under the Internal

Revenue Code. We need this information to properly identify

the tax information and respond to your request. You are not

required to request any transcript; if you do request a

transcript, sections 6103 and 6109 and their regulations

require you to provide this information, including your SSN or

EIN. If you do not provide this information, we may not be

able to process your request. Providing false or fraudulent

information may subject you to penalties.

Routine uses of this information include giving it to the

Department of Justice for civil and criminal litigation, and

cities, states, the District of Columbia, and U.S.

commonwealths and possessions for use in administering

their tax laws. We may also disclose this information to other

countries under a tax treaty, to federal and state agencies to

enforce federal nontax criminal laws, or to federal law

enforcement and intelligence agencies to combat terrorism.

You are not required to provide the information requested

on a form that is subject to the Paperwork Reduction Act

unless the form displays a valid OMB control number. Books

or records relating to a form or its instructions must be

retained as long as their contents may become material in the

administration of any Internal Revenue law. Generally, tax

returns and return information are confidential, as required by

section 6103.

The time needed to complete and file Form 4506-T will

vary depending on individual circumstances. The estimated

average time is: Learning about the law or the form, 10

min.; Preparing the form, 12 min.; and Copying,

assembling, and sending the form to the IRS, 20 min.

If you have comments concerning the accuracy of these

time estimates or suggestions for making Form 4506-T

simpler, we would be happy to hear from you. You can write

to:

Internal Revenue Service Tax Forms

and Publications Division 1111

Constitution Ave. NW, IR-6526 Washington, DC 20224

Do not send the form to this address. Instead, see Where

to file on this page.

Borrower Consent to the Use of

Tax Return Information

Date:

Borrower(s):

Property address:

Loan number:

Borrower understands, acknowledges, and agrees that the Lender and Other Loan Participants can obtain,

use and share Borrower’s tax return information for purposes of (i) providing an offer; (ii) originating,

maintaining, managing, monitoring, servicing, selling, insuring, and securitizing a loan; (iii) marketing; or (iv)

as otherwise permitted by applicable laws, including state and federal privacy and data security laws.

The Lender includes the Lender’s affiliates, agents, service providers and any of aforementioned parties’

successors and assigns.

The Other Loan Participants includes any actual or potential owners of a loan resulting from your loan

application, or acquirers of any beneficial or other interest in the loan, any mortgage insurer, guarantor, any

servicers or service providers for these parties and any of aforementioned parties’ successors and assigns.

Borrower

Borrower name Date

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