Form Do-41 - Request For Copy Of Kansas Tax Documents Page 2

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INSTRUCTIONS FOR COMPLETING FORM DO-41
GENERAL INFORMATION
PART IV— Signature and Date
This form must be signed and dated by the taxpayer,
Use this form to request copies of filed returns and/or
officer for the taxpayer, or authorized tax preparer.
reports filed with KDOR (Kansas Department of
Revenue). KDOR will provide records upon a direct
Enclose your check or money order with this form
match. If you have not provided enough information to
and mail it to the following address:
establish a direct match, we will contact you for
Record Requests
additional information.
Kansas Department of Revenue
If you request a copy of your federal Corporate
915 SW Harrison St
Income Tax return, we will provide the portion of the
Topeka, KS 66612-1588
return that was submitted with your Kansas Corporate
When your returns/documents have been retrieved, a
Tax return.
copy of them will be mailed to the address you have
No refunds will be issued for requests made in error
provided on this form.
or for returns or reports that are not on file.
If you prefer, you may use air express as a method of
delivery, but you will be responsible for the charges.
SPECIFIC INSTRUCTIONS
Payment must be made directly to the delivery service
and you must provide KDOR with a prepaid envelope or
PART I — Taxpayer Information
an account number for such delivery.
Complete all information requested in this section.
NOTE: Tax records are considered confidential
documents and are held in strict confidence by law;
Be sure to include a daytime phone number in case we
need to reach you during office hours.
therefore, faxing them is not a delivery option.
PART II — Mailing Information
FEE STRUCTURE FOR DOCUMENTS
If the address provided in PART I is different than the
NOT LISTED ON THIS FORM
address where your return(s) are to be mailed, then
• Copy charge for each page is $0.25
complete PART II.
• Search charge (staff time per hour) $25.00
• Computer time (staff time per hour) $60.00
PART III — Tax Return/Document Requested
• Mail charge for first 5 pages is $0.40 and $0.25 for
Indicate the return(s) you are requesting by marking
each additional 5 page increments
the appropriate box(es) and specifying the tax year(s).
Copy and Search Charge Fees: The 25-cent copy charge
Mark the “Misc. Tax” box for tax returns not listed and
is a per page charge which is principally assessed to
enter the tax type in the space provided (i.e., liquor
reimburse the agency for routine costs of retrieving
enforcement, liquor drink, transient guest, motor fuel,
records which are requested with specificity and are held
IFTA, etc.); then specify the tax year(s).
within the agency's current file system. It does not include
For corporate, privilege and small business returns,
the cost of more than one-tenth of an hour of research or
specify the year ending date(s).
access time required to determine the location of records
To request a copy of a refund check, a tax warrant, a
not readily accessible, to determine what specific records
Satisfaction of Judgment, or an account transcript, mark
meet request criteria, to segregate public from non-public
the appropriate box and enter the tax type and year. For
information, to access records from archives and other
documents that are not listed in this section, mark the
similar necessary services. For such services in providing
“Other” box and provide a description under “Tax Type
access or copies, the $25 per hour search charge may be
or Document Description.” If the document you are
assessed, to be billed by the tenth of an hour.
requesting can be found, and a copy provided, KDOR
will use the fee structure in the next column to compute
Mail Charge Fee: The mail charge may be assessed in
the amount you owe and send you a bill.
addition to the copy charge when mail service is
Complete Part III by totaling the “Number of Returns”
requested. For up to and including the first five pages, 40
column and the “Amount Due” column. Make your check
cents may be charged, plus an additional 25 cents for up
or money order payable, in the amount due, to the
to and including each additional five pages.
“Kansas Department of Revenue.”

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