Form 460 - Public Records Requests Form - Arizona Department Of Revenue

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ARIZONA DEPARTMENT OF REVENUE
Arizona Form
460
Public Records Requests Form
As a public body, the Arizona Department of Revenue (“ADOR”) is required by law to maintain records and make
them available to the public upon request.
A.R.S. §§ 39-121 through
39-128. Various confidentiality laws and
privileges apply to ADOR records. Confidential information (defined in
A.R.S. §
42-2001) may not be disclosed (per
A.R.S. §
42-2002), except as provided by law
(A.R.S. §
42-2003). Confidential information includes tax returns and return
information. It also includes information about the identity of a taxpayer (name and address) and whether a taxpayer has
filed a return, is subject to audit or collection actions, and the amount or source of income or liabilities.
To request copies of tax returns, please use
Form
450. Use this form for all other records requests.
The fee for copies is 25¢ per page. To make your records request, please provide the following information:
1. Are you requesting your own tax records?
Yes
No
Taxpayer Type
Who Can Request
Taxpayer Type
Who Can Request
INDIVIDUAL
Individual (person listed on the return)
LLC
Member/Manager
CORPORATION
Principal Corporate Officer
ESTATE
Personal Representative/Heir
PARTNERSHIP
Partner
TRUST
Trustee/Grantor/Beneficiary
2. Are you requesting someone else’s tax records?
Yes
No
If you are requesting a copy of someone else’s tax records, please provide proper written authorization with this request:
Arizona Disclosure Authorization Form 285B
Intergovernmental or interagency agreement (on file with ADOR)
Court order
(A.R.S. § 42-2003(N)).
Note: ADOR cannot disclose confidential information in response to a subpoena.
Other:
3. Please describe, in detail, the records requested: (include taxpayer name, tax type, tax periods, etc.)
4. Are these records for personal use or commercial purposes
(A.R.S. §
39-121.03)?
5. Requester’s contact information:
Name
Mailing Address
Title
City
State
ZIP Code
Company
Phone Number
Fax Number
Signature
Date
6. Mail this completed request form to:
Arizona Department of Revenue
Disclosure Office – Division Code 3
1600 W. Monroe St.
Phoenix, AZ 85007
ADOR 11288 (7/16)

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