RET-001 (Rev. 11/08/18)
FOR
MAI L TO:
Georgia Department of Revenue
1800 Century Blvd. NE, Suite L300
Atlanta, GA 30345
TAXPAYER RETURN REQUEST FORM
GENERAL INSTRUCTIONS
Use this form to request copies of GA returns. Contact the IRS for federal returns.
In order to locate the proper return, please provide the taxpayers’ name, address,
and identifying numbers as they appeared on the return.
Prepare a separate request for each type of tax return.
If you are not the taxpayer, please enclose a copy of the Disclosure Authorization
(
Form RD-1062) or a signed Power of Attorney (Form RD-1061) to receive the requested information.
Please allow 15 business days to process your request.
TAXPAYER INFORMATION
Primary Taxpayer Name or Name of Business: Spouse Name (if applicable):
SSN Spouse SSN (if applicable)
Tax ID
Mailing Address on Return: City State Zip
Current Mailing Address (If different from above): City State Zip
Daytime Telephone Number Name of Contact Person (if applicable)
RETURN TAX YEAR(s):
_________________________
Check Tax Type:
Individual Sales and use tax Withholding
Corporate
FEES:
$5.00 Each
$4.00 Each
Amount Due: Number of Returns Requested ________ x Number of Copies $________ = $________
Check, Money Order, or Cashier’s Check made payable to Georgia Department of Revenue.
PLEASE
DO NOT MAIL CASH
Note: Full Payment Must Accompany the Return Request.
DECLARATION:
I hereby declare, under penalties of perjury, that I have examined this request and, to the best of my knowledge and belief, it is true, correct
and complete. If you are being represented by an attorney, accountant, or other third party, a properly executed Disclosure Authorization
(Form RD-1062) or Power of Attorney (Form RD-1061) authorizing the representative to act for the taxpayer must be included with this form.
Taxpayer’s Signature and Date Spouse’s Signature and Date (if applicable)
Representative’s Name Title (if applicable)
Representative’s Signature Date
Paper Filed Tax Return and all Attachments
Electronic Filed Tax Return
