Form 1937 - Request For Photocopy Of Missouri Income Tax Return Or Property Tax Credit Claim - Missouri Department Of Revenue - 2013

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MISSOURI DEPARTMENT OF REVENUE
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(573) 751-5337
FORM
1937
REQUEST FOR PHOTOCOPY OF
MISSOURI INCOME TAX RETURN OR
(REV. 02-2013)
PROPERTY TAX CREDIT CLAIM
The Confidentiality Provisions of the Missouri Income Tax Law protect you by prohibiting other persons from obtaining
information contained on your tax return or Property Tax Credit claim(s). In compliance with these provisions, please
complete this form to obtain a copy of your tax return(s).
NAME OF TAXPAYER
SOCIAL SECURITY NUMBER
___ ___ ___ - ___ ___ - ___ ___ ___ ___
NAME OF SPOUSE
SPOUSE’S SOCIAL SECURITY NUMBER
___ ___ ___ - ___ ___ - ___ ___ ___ ___
ADDRESS ON RETURN AS FILED
PRESENT ADDRESS (IF DIFFERENT)
YEAR REQUESTED
TAXPAYER’S SIGNATURE(S)
YOUR SIGNATURE
DATE(MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
SPOUSE’S SIGNATURE
DATE(MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
MAIL COMPLETED FORM TO
MISSOURI DEPARTMENT OF REVENUE
FAX: (573) 526-1881
P.O. BOX 3022
JEFFERSON CITY, MO 65105-3022
FOR DEPARTMENT OF REVENUE USE ONLY
REQUEST PROCESSED BY
DATE(MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
RELEASE APPROVED BY
DATE(MM/DD/YYYY)
___ ___ / ___ ___ / ___ ___ ___ ___
COMMENTS
(REV. 02-2013)

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