Form 4506-W - Request For Copy Of Withholding Tax Forms

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
FORM
4506-W
I
C
T
D
NDIVIDUAL AND
ORPORATE
AX
IVISION
P. O. Box 327480 • Montgomery, AL 36132-7480
4/2000
Request for Copy of Withholding Tax Forms
IMPORTANT: Before completing this form, please read all instructions. Type or print all information.
1. Name, trade name, and address of employer as shown on return.
4. If name in third party’s records differs from Item 1 above, show here (see
instructions for Item 3).
2. Employee’s current name, address, and Social Security Number if W-2 is
5. Employer Federal Identification Number as shown on tax form.
needed.
3. If information is to be mailed to someone else, show the third party’s name
6. Employer’s state withholding tax account number.
and address.
7. Use the following table to compute the amount to submit with your request:
Tax
Period/Year
A-1
A-6
A-3
W-2
TOTAL
X $15.00
X $15.00
X $15.00
X $15.00
Amount Due
NOTE: Payment must be in the form of a money order or cashier’s check made payable to the Alabama Department of
Revenue. Full payment must accompany your request.
Your Signature
Date
Telephone number of requester (_________)_________________________________

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