Form 4506-A - Request For Public Inspection Or Copy Of Exempt Organization Tax Form printable pdf download

4506-A

Request for Public Inspection or Copy

Form

OMB No. 1545-0495

(Rev. November 1991)

of Exempt Organization Tax Form

Expires: 11-30-94

Department of the Treasury

Internal Revenue Service

Name and address of exempt organization. (If a multiple

Employer identification number of exempt organization (if known)

request, please attach list of names, forms, and tax years.)

5 Tax form requested

Date requested

Form 990 or 990EZ

Form 990-PF

Document locator number

Mail copies to (show Taxpayer Service, and district or local IRS

Other

(if known)

office address)—For inspection requests only

Type of request

IRS service center where tax

form was filed

Photocopy

Aperture card of

Form 990-PF

3 Requester (name, address, and telephone number)

Inspection

Tax year requested

IRS office where inspection

will be made

Latest return on file

IRS Use Only

For returns files:

Copy of requested tax form is attached.

We find no record of requested tax form.

13 The tax form requested above was inspected (name of requester)

15 IRS office where inspection was made

Signature of employee present at inspection

Date

Instructions

The cost for a copy of each return is

Arizona, Colorado, Kansas,

$1.00 for the first page and $.15 for each

New Mexico, Oklahoma,

Austin, TX 73301

Paperwork Reduction Act Notice.— We

Texas, Utah, or Wyoming

additional page. The cost for an aperture

ask for the information on this form to

card for each Form 990-PF is $1.00 for the

Indiana, Kentucky,

carry out the Internal Revenue laws of the

Michigan, Ohio, or West

Cincinnati, OH 45999

first card and $.18 for each additional card.

Virginia

United States. We need the information to

If the cost to you is over $50, we will ask

Alaska, California, Hawaii,

gain access to the return you requested in

for payment in advance.

Idaho, Nevada, Oregon, or

Fresno, CA 93888

our files and properly respond to your

There is no charge to inspect a return at

Washington

request. If you do not furnish the

an IRS office. You may inspect the return

Connecticut, Maine,

information, we may not be able to fill your

at any IRS district office or at the IRS

Massachusetts, New

Holtsville, NY 00501

request.

National Office in Washington, DC.

Hampshire, New York,

Rhode Island, or Vermont

The time needed to complete and file

Where To File.—Requests for inspection

Illinois, Iowa, Minnesota,

this form will vary depending on individual

should be sent to the District Director

Missouri, Montana,

circumstances. The estimated average time

(Attention: Disclosure Officer) of the district

Kansas City, MO 64999

Nebraska, North Dakota,

is: Recordkeeping, 7 min.; Learning

in which you want to inspect the return or

South Dakota, or Wisconsin

about the law or the form, 2 min.;

application. If you want to inspect the

Delaware, Maryland, New

Preparing the form, 17 min.; Copying,

return or application at the IRS National

Jersey, Pennsylvania,

Virginia, District of

Philadelphia, PA 19255

assembling, and sending the form to the

Office, send the request to the

Columbia, any U.S.

IRS, 14 min.

Comissioner of Internal Revenue, Attention:

possession, or foreign country

Freedom of Information Reading Room,

If you have comments concerning the

Item 1—Enter the organization’s official

1111 Constitution Avenue, NW.,

accuracy of these time estimates or

name (that is, the name under which

Washington, DC 20224. The office

suggestions for making this form more

exempt status was recognized). If you do

handling your request will contact you

simple, we would be happy to hear from

not enter the official name, we may not be

when the form or application is available

you. You can write to both the Internal

able to locate the requested return.

for inspection.

Revenue Service, Washington, DC 20224,

Attention: IRS Reports Clearance Officer,

Requests for a copy of an organization’s

Item 5—If you are requesting a copy of an

T:FP; and the Office of Management and

return should be sent to the Internal

exemption application, check the “Other”

Budget, Paperwork Reduction Project

Revenue Service Center for the place

box and write in “exemption application.”

(1545-0495), Washington, DC 20503. DO

where the organization’s principal office is

For a copy of forms not listed in item 5,

NOT send this form to either of these

located. See the chart on this page for the

check the “Other” box and write in the

offices. Instead, see Where To File.

address.

form number.

If the organization’s

Send your request

Purpose of Form.—Use Form 4506-A to

Item 7—If a specific tax year is needed,

principal office

for copies of

request a copy of or to inspect an exempt

enter the year. If not, check the box for the

is located in—

forms to—

organization’s return. Also use it to request

latest return filed.

an aperture card (a type of microfiche) of

Alabama, Arkansas, Florida,

Forms 990-PF.

Georgia, Louisana,

Mississippi, North Carolina,

Atlanta, GA 39901

South Carolina, or Tennessee

4506-A

Cat. No. 41722P

Form

(Rev. 11-91)

Form 4506-A - Request For Public Inspection Or Copy Of Exempt Organization Tax Form

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