Form Ia 4506 - Request For Copy Of Tax Return - 2013
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Iowa Department of Revenue
IA 4506 Request for Copy of Tax Return
Taxpayers’ Names and Address as shown on return:
Mail Photocopies To:
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Social Security Number, Sales/Use Tax Permit Number
Type of Tax Return Requested
FEIN, Fuel Tax License Number
Individual Income
Sales/Use
Withholding
Other: ______________________________________________
Copies of Returns Requested:
Check if needed for gaming license.
Tax Period(s)
Type of Tax Return
1. ___________
______________________________________________
NOTE: Payment must accompany this
request. Requests received without
2. ___________
______________________________________________
payment will be returned to the sender.
3. ___________
______________________________________________
4. ___________
______________________________________________
Fee is $5 for Each Tax Return. Number of Returns Requested: _____ x $5 = _________
Submit this amount.
Signature of Taxpayer or Requester:_________________________Date ___________
Daytime Phone ___________________
Requester must submit authorization; see instructions
The fee for copies of all tax returns is $5 per return.
This service is not subject to sales tax.
Make checks payable to: Treasurer, State of Iowa
When you pay by check, your authorize the Department to convert your check to a one-time electronic banking transaction.
Mail completed form and check to:
Request for Copy
Do not send cash.
Iowa Department of Revenue
P.O. Box 10413
Des Moines IA 50306-0413
INSTRUCTIONS
•
Due to the statute of limitations, we are unable to provide copies of individual income tax returns more than
three years old.
• Use this form to request copies of Iowa returns. Contact the IRS at 1-800-829-1040 for federal returns.
• Prepare a separate request for each type of tax return.
• Please enclose a copy of your authorization to receive this information if you are not the taxpayer. We need a
power of attorney, Tax Information Release Authorization, or if the taxpayer is deceased, a certified copy of
your Letter of Administration or Testamentary. If more than a year has passed since the letters were issued, you
must also send a certification by the clerk of court stating they are still in effect.
• A page is the front and back of the return or any supporting schedules attached to the return on which entries
were made. We will not copy the back of a sheet of paper if it only contains instructions.
• Requests received without a signature or date will be returned.
View returns and payments filed through the online eFile & Pay system, online at
Use the View “e” History links on the Main Menu screen of the eFile & Pay system.
*1395504019999*
95-504 (10/04/13)
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