Arkansas Individual Income Tax Forms And Instructions

Arkansas Individual Income Tax Forms And Instructions - 2013 Page 9

AR4506

STATE OF ARKANSAS

REQUEST FOR COPIES

OF ARKANSAS TAX RETURNS AND W-2S

Mail To:

Or Bring To:

State of Arkansas

Joel Y. Ledbetter Building

Individual Income Tax

1816 W 7th Street, Room 2300

P.O. Box 3628

Little Rock, AR 72201

Little Rock, AR 72203-3628

(501) 682-1100 or

(800) 882-9275

Primary Name On Return

SSN, FEIN, or ID Number

SSN or ID Number

Secondary Name On Return (If Applicable)

Current Mailing Address (City, State, & Zip)

Daytime Phone Number

TYPE

Return(s) Requested (List Tax Year(s))

W-2(s) Requested (List Tax Year(s))

NOTE - You may be able to get your tax information from other sources. If you had your tax return

completed by a paid preparer, he/she should be able to provide a copy of the return. Your employer

should be able to provide a copy of your W-2.

INSTRUCTIONS

1. Print or type your name, mailing information, SSN, FEIN (if applicable), Account ID, spouse’s information (if

applicable), return(s) and/or W-2(s) you are requesting.

2. Copies are

$2.00 per year.

Attach a check or money order. DO NOT SEND CASH IN THE MAIL.

(If you make your request in person, you may pay with cash. Bring exact change.)

3. Mail this form with your payment to the mailing address or deliver to the physical address at the top of this form.

In order to process your request, signatures are required below. For entities other than individuals, you must

attach an authorization document.

Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown above, or a person authorized to obtain the

tax information requested. If the request applies to a joint return, either husband or wife must sign. If signed by a corporate officer,

partner, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have

the authority to execute Form AR4506 on behalf of the taxpayer.

Primary Signature

Date

Secondary Signature (If Applicable)

Date

Title (if primary name is a partnership or trust)

AR4506 (R 10/11/13)

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Arkansas Individual Income Tax Forms And Instructions - 2013 Page 9

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