Catalog Number 68948H www.irs.gov
Form
4506-F (7-2016)
For Privacy Act and Paperwork Reduction Act Notice, see page 2
Read this information first
When should I complete this form? You should use this form if you are the person whose name and Social Security Number (SSN)
was used to file a fraudulent tax return. Due to federal privacy laws, the victim’s name and SSN must be listed as either primary or
secondary taxpayer on the fraudulent return; otherwise the IRS cannot disclose the return information. For this reason, the IRS cannot
disclose return information to any person listed only as a dependent.
Step 1 – Provide Taxpayer Information
1 Social Security Number (SSN) used on fraudulent return 2 Name used on fraudulent return
3 SSN owner’s current street address 3a SSN owner’s current city, state, and ZIP
4 SSN owner’s complete address shown on last return if different from above
Step 2 – Provide Requestor Information
5 What is your relationship to the taxpayer named in Step 1
Check the box that best applies
Self (you are the taxpayer)
Parent or guardian of a minor child
Representative named on Form 2848, Power of Attorney
Guardian, executor, or representative named on court documents
NOTE: The person making this request must provide a copy of a government-issued identification and, if you are not the taxpayer, documents
demonstrating your authority to receive the requested tax information. See instructions.
6 Requestor's SSN or Taxpayer Identification Number (if different than Step 1). See instructions
Requestor's name (if different than Step 1)
Mailing address where the documents should be sent (if different than Step 1)
City, state, and ZIP where the documents should be sent (if different than Step 1)
Step 3 – Provide Tax Year(s) Requested
7 Enter the tax year(s) of the individual income tax form(s) you are requesting
Step 4 – Sign Below
I declare that I am either the taxpayer(s) identified on Line 2, or a person authorized to obtain the information requested on Line 7.
Requestor's signature
Requestor's name (please print)
Date
Requestor's daytime telephone number
NOTE: You must enclose a copy of your government-issued identification. If you are not the taxpayer named in Step 1, you
must enclose documents demonstrating your authority to receive the requested tax information in addition to a copy of your
government-issued identification.
Next, mail to: Department of the Treasury, Internal Revenue Service, Fresno, CA 93888-0025
Form 4506-F
(July 2016)
Department of the Treasury - Internal Revenue Service
Request for Copy of Fraudulent 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.
For more information about Form 4506-F, visit www.irs.gov/form4506f.
OMB Number
1545-0429
click to sign
signature
click to edit
dd mmm yyyy
Page 2
Form 4506-F (7-2016)
www.irs.govCatalog Number 68948H
Instructions for Form 4506-F, Request for Copy of Fraudulent Tax Return
Purpose of the form: Use this form to request a copy of a
fraudulent return filed using your SSN as the primary or
secondary taxpayer.
NOTE: Some of the information on the fraudulent return will be
redacted. We may disclose information from a fraudulent return to
a person whose name and SSN are listed as the primary taxpayer
or the spouse when the disclosure does not seriously impair tax
administration. Some information on the fraudulent return will be
redacted or partially redacted, but there will be enough data to
determine how the taxpayer's personal information was used.
Where to file your request: you will need to send a
completed signed Form 4506-F and required documentation to
the following address:
Department of the Treasury
Internal Revenue Service
Fresno, CA 93888-0025
Note: For requests being sent using a Private Delivery Service
ship to:
Internal Revenue Service
5045 East Butler Avenue
Fresno, CA 93727
"Identity Theft - Request for Fraudulent Return"
Specific Instructions:
Step 1 – Provide Taxpayer Information
Line 1: Enter the SSN used on the fraudulent return.
Line 2: Enter name of the taxpayer used on the fraudulent
return.
Line 3: Enter SSN owner’s current address. If you use a P.O.
Box, please include it on this line.
Line 3a: Enter SSN owner’s current city, state and zip code
Line 4: Enter the SSN owner’s complete address shown on the
last return filed if different from the address entered on
line 3 and 3a.
NOTE: If the SSN owner’s addresses on lines 3, 3a and 4
are different and the address has not been changed with the
IRS, a Form 8822, Change of Address, must be filed.
Step 2 – Provide Requestor Information
Line 5: Check the box that describes the relationship to the
taxpayer named in Step 1.
Line 6: Enter the SSN or appropriate TIN, name and mailing
address of the requestor if different from Step 1.
(Examples of appropriate TINs: Centralized
Authorization File (CAF), Employer Identification
Number (EIN))
Form 4506-F must be accompanied by a copy of your
government-issued identification (for example, a driver’s
license or passport).
If you are authorized to obtain the identity theft victim’s tax
information, the Form 4506-F must also be accompanied by
documents demonstrating your authority to receive the requested
tax return information (for example, Form 2848, Form 8821, or a
court order) unless:
• You are requesting return information of your minor child as a
parent or legal guardian, or
• Your authority to obtain return information for the requested tax
year(s) is on file with the IRS and you are providing your CAF
number.
Step 3 – Provide Tax Year(s) Requested
Line 7: Enter the tax year(s) requested.
NOTE: You can request copies of fraudulent returns for the
current tax year and previous six tax years.
Step 4 – Sign Below
Signature and Date: This form must be signed and dated by
the taxpayer(s) listed on Line 2 or the requestor listed on Line 6.
NOTE: Ensure that all applicable lines are completed prior
to signing. If the request is missing any of the above, it will
be rejected as incomplete and returned to secure the missing
information.
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 return(s) under the Internal Revenue Code. We need this
information to properly identify the return(s) and respond to your request.
If you request a copy of a tax return, sections 6103 and 6109 require you
to provide this information, including your SSN or EIN, to process your
request. 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 will vary depending on
individual circumstances. The estimated average time is: Learning about
the law or the form, 10 min.; Preparing the form, 16 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 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; Washington, DC 20224
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome