Form Tc-880 - Request For Tax Records - Utah State Tax Commission

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Utah State Tax Commission

TC-880

Request for Tax Records

Rev. 2/06

Name of person requesting records

Daytime telephone number

Current mailing address

City

State

ZIP Code

Check box if you are a member of:

If you are a member of a special interest group, please indicate the group

the media

a special interest group

Description of the Records Requested

Name of the taxpayer or entity shown on records

Social security number / account number / employer identification number on record

Tax or filing period

Description of records

ICN number

Number of records requested at $6.50 per record

Total amount

(additional expenses may be incurred if research is required)

received

Office Use Only

If the name on the records differs from the name of the person requesting the records, please indicate

which of the following apply:

The requester is the parent or legal guardian of the subject of the record who is 17 years or younger

and unmarried.

The requester is the legal guardian of the subject of the record who is a legally incapacitated individual.

The requester is an officer, director, member or general partner of the entity.

If you check either box below, you must attach a copy of the power of attorney or notarized release to this form.

The requester has a power of attorney from the subject of the record.

The requester has a notarized release from the subject of the record or his legal representative dated no more than 90 days before the date

the request for records is made.

Under penalties of perjury, I declare to the best of my knowledge and belief, this request, including accompanying documents, is true, correct and complete.

Signature of requester

Title

Date

Utah law requires proof of requester’s identity prior to release of private, controlled or protected information. If this form is mailed in, the requester’s

signature should be notarized in the space provided. If this form is presented in person, the requester must present proof of identification to the

authorized examiner.

Place notary stamp in this space

Authorized examiner signature

Date

Tax Commission/County Office

Notary public signature

A driver’s license is the preferred identification. Indicate the form of

identification and the identification number used for proof.

Date subscribed and sworn

If you need an accommodation under the Americans with Disabilities Act,

Office Use Only