Arizona Form 450 - Request For Certifi Ed Copies Of Documents
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FOR DOR USE
ARIZONA FORM
Request for Certifi ed Copies of Documents
No. ________________________
450
Read instructions on reverse side before completing this form. Please print or type.
1. Name(s) as shown on document:
2. SSN and/or ID number as shown on document:
A.
A.
B.
B.
3. Tax return for period(s):
4. Tax type (check only one):
Individual Income Tax
Corporate Income Tax
When fi led:
Transaction Privilege & Use Tax
Withholding
Other (please specify):
5. Current address:
6. Mail copies to:
7.
SIGNATURE OF REQUESTOR
DATE
TITLE (if applicable)
DAYTIME PHONE (with area code)
• FEE is $1.00 for front page (per period), 10¢ for each additional page.
• Check or money order only. Your canceled check is your receipt.
• Mail completed form to: Copy Desk, Arizona Department of Revenue,
1600 West Monroe, Phoenix, AZ, 85007-2650
• Please allow thirty (30) days for processing.
FOR DEPARTMENT USE
DOCUMENT NUMBER(S)
Serial Number:
Amount Received:
Postmark Date:
Date Received:
Date Mailed:
Billed:
Comments:
ADOR 91-5391f (06)
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Parent category: Legal