Fill - Free fillable Note: Form 4506-T begins on page 3. (State University of New York College of Agriculture and Technology at Cobleskill) PDF form

Note: Form 4506-T begins on page 3.

Kansas City Fax Number for Filing Form 4506-T Has Changed

The fax number for filing Form 4506-T with the IRS center in Kansas City has changed.

The new fax number is 855-821-0094. The previous fax number of 816-292-6102 is no

longer in service.

This page intentionally left blank.

Form

4506-T

(Rev. September 2015)

Department of the Treasury

Internal Revenue Service

Request for Transcript of Tax Return

▶

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

▶

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)

5 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.

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.

▶

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: For transcripts being sent to a third party, this form must be

received 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

▲

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. 9-2015)

/ / / / / / / /

Form 4506-T (Rev. 9-2015)

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.

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

512-460-2272

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

559-456-7227

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

816-292-6102

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

801-620-6922

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

859-669-3592

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 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. If

you completed line 5 requesting the information be

sent to a third party, 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.

▲

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.

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