Request For Copy of Tax Return

8. Year or period requested: Enter ending date of the year requested, using the mm/dd/yyyy format. If you are requesting more than three (3) years, you must be get must request your copy from the IRS.
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9. FEE: There is a $25.00 fee for each return requested. FULL Payment must be paid before your request will be honored. *
a. Cost of each return
b. Number of returns requested on line 8
c. Total cost. Multiply 9a by line 9b

9.  If we cannot find your tax return, we will refund the fee.  If the refund shoud go to the third party listed on line 4 check here _____.

Signature of taxpayer(s). I declare that I am either the taxpayer whose name is shown on line 1a or 2a, or a person authorized to obtain the tax return requested.  If the request applies to a join return, either husband or wife must sign. 

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                                       Signature                                                                               Date 

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                               Spouse Signature                                                         Date

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