Form Dr 5714 - Request For Copy Of Tax Returns
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2DR 5714 (05/20/16)
COLORADO DEPARTMENT OF REVENUE
Tax Files - Room B112
Request For Copy of Tax Returns
P.O. Box 17087
Denver, CO 80217-0087
(See Instruction Sheet For Important Information)
MAIL COPIES TO:
Name
Department Use Only
________________________________________________________________
Processed By
Address
________________________________________________________________
Section
City/State/ZIP
________________________________________________________________
Date Processed
(MM/DD/YY)
In Accordance With The Provisions of C.R.S. 39-21-113, I Hereby Request That The Department of Revenue Prepare:
For Tax Period
Tax Return (Form Number)
Tax Period Ending
Beginning
A Copy of:
(For Personal or Non-Legal Use)
A Certified Copy of:
(If Required for Legal Use or
Medical Marijuana Red Card)
Proof of Filing Return for DL,
ID or Permit (CO-RCSA SB251)
Refund Amount
For Tax Year
A Copy of a Cashed Refund Check
Taxpayer Last Name
First Name
Middle Initial
Current Address
City
State Zip
Social Security, Account Number or ITIN Number
Phone Number
Signature and Notarization Required To Process Request
I declare under the Penalty of perjury in the second degree that I subscribed and filed said tax return(s) either for myself or
for the taxpayer named above as an officer of the company or an authorized representative thereof and that the signature
which appears on the tax return and the one that appears below are both my signatures.
Signature of Requester
Spouse’s Signature (if joint)
Date
(MM/DD/YY)
Subscribed and sworn to or affirmed before me this _____Day of ________________________________,20______In the County of
___________________ State of_______________________.
Signature of Notary
My Commission Expires
SEAL
Please do not remit any payment with this request. The first 10 pages will be provided free of charge. Subsequent pages
cost $0.25 per page. If payment is required you will be notified prior to your request being processed.
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Parent category: Financial