Form Ri-4506 - Request For Copy Of Income Tax Return(S)

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RI-4506
STATE OF RHODE ISLAND
DIVISION OF TAXATION
REQUEST FOR COPY OF INCOME TAX RETURN(S)
Name(s) of taxpayer(s) as shown on tax return:
________________________________________________________________________
Current address of taxpayer(s):
__________________________________________
__________________________________________
Telephone Number: ______________________________
Type of Tax: Personal Income Tax
Tax Form Number: ________________________________
Tax Period(s): ____________________________________
Social Security Number: ____________________________
Spouse’s Social Security Number: ____________________
Certified Copy
or Photo Copy
This is a request for a copy of the above form(s) and all attachments.
___________________________________________
_________________
Signature
Date
___________________________________________
_________________
Spouse’s Signature (if applicable)
Date
______________
COPY CHARGE = $3.00 PER TAX RETURN
Total Enclosed
Make check payable to:
Rhode Island Division of Taxation
One Capitol Hill
Providence, RI 02908-5800
FULL PAYMENT MUST ACCOMPANY THIS REQUEST
THE TAX DIVISION DOES NOT MAIL TO THIRD PARTIES
PLEASE ENCLOSE A SELF-ADDRESSED STAMPED ENVELOPE
THE ENVELOPE ADDRESS MUST BE THE SAME AS THE CURRENT ADDRESS ABOVE
Rev. 8/2005

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