Form 4506-A - Request For Copy Of Tax Form Or Individual Income Tax Account Information
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1
2A
D
R
LABAMA
EPARTMENT OF
EVENUE
FORM
RESET
I
C
T
D
NDIVIDUAL AND
ORPORATE
AX
IVISION
4506-A
P. O. Box 327410 • Montgomery, AL 36132-7410
Request for Copy of Tax Form or
REV. 3/01
Individual Income Tax Account Information
IMPORTANT: Before completing this form, please read all instructions. Type or print all information.
1. Name and address of taxpayer(s) as shown on return.
5. Social security or employer identification number
as shown on tax return
6. Spouse’s social security number as shown on
tax return
2. Current name and address.
7. Tax form number (Form 40A, 40, 65, 20, etc.)
3. Third party’s name and address (if the information is to be mailed to someone else).
8. Tax period(s) (No more than 4 per request)
9. Amount due (check, money order, or cashier’s check
made payable to the Alabama Department of
Revenue)
4. Name in third party’s records (if different from name in Item 1). (See instructions for Item 3)
$_____________________
Note: Full payment must accompany your request
10.
(Check only one box)
$5.00 each
Copy of tax return and all attachments.
Indicate
Please Allow
Note: If you need these copies certified for court or
What You
administrative proceedings, check here
also.
8 to 10 Weeks
Are Requesting
For Processing
No charge
Amount of refund and/or interest received.
No charge
Amount of tax due and/or interest paid.
Please
Sign
Here
Your Signature
Date
Spouse’s Signature
Telephone number of requester (_________)_______________________________ Convenient time for us to call ____________________________
FOR OFFICIAL REPLY ONLY – Do not write in this space
Date of Reply
REFUNDS YOU RECEIVED
TAXES YOU PAID
Tax
______________ , ______
Tax
Interest
Date
Tax
Interest
Penalty
Date
Year
Amount
Amount
Paid
Amount
Amount
Amount
Paid
Rev. by _______________
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