Form Ri-4506 - Request For Copy Of Tax Return(S)
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1State of Rhode Island and Providence Plantations
Form RI-4506
13200299990101
Request for Copy of Tax Return(s)
Name as shown on return
Federal employer identification number/social security number
Current address of taxpayer
Address 2
Telephone number
City, town or post office
State
ZIP code
E-mail address
Request for Copy of Tax Return(s)
Tax Type:
Corporate Income Tax:
Tax Form:
______________________________________________
Tax Year(s):
______________________________________________
Personal Income Tax:
Tax Form:
______________________________________________
Tax Year(s):
______________________________________________
Spouse’s social security number:
___________________________
Estate Tax:
Tax Form:
______________________________________________
Tax Year(s):
______________________________________________
Date of death: ______________________________________________
Full payment must accompany this request.
Copy charge: $1.00 per page
Minimum copy charge: $3.00 per tax return
Amount enclosed: $_________________
Make check payable to: Rhode Island Division of Taxation, One Capitol Hill, Providence, RI 02908
The Tax Division does not mail to third parties.
Requested tax return(s) will be mailed to the current address noted above.
This is a request for a copy of the return(s) noted above and all attachments.
Applicant signature
Print name
Title
Date
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Parent category: Financial