Kansas Request for Copy of Tax Documents

Name (Taxpayer or Corporate Name)

Your SSN No.

Joint Filer’s Name

Spouse’s SSN No.

Address

Registration No.

Employer ID No. (EIN)

City, State and Zip Code

Daytime Phone Number

Email Address

Address

City, State, and Address

Printed Name and Title

Name of Your Business/Organization

Signature

Date

GENERAL INFORMATION

Use this form to request copies of filed returns and/or reports filed with the Kansas Department of Revenue. The Kansas Department of Revenue will provide records upon a direct match. If you have not provided enough information to establish a direct match, we will contact you for additional information.

If you request a copy of your federal Corporate Income Tax return, we will provide the portion of the return that was submitted with your Kansas Corporate Tax return.

No refunds will be issued for requests made in error or for returns or reports that are not on file.

SPECIFIC INSTRUCTIONS

PART I — Taxpayer Information

Provide information as requested. Be sure to include a daytime phone number and email address in case we need to reach you during office hours.

PART II — Mailing Information

If the address provided in PART I is different than the address where your return(s) are to be mailed, then complete PART II.

PART III — Tax Return/Document Requested

Indicate the return(s) you are requesting by marking the appropriate box(es) and specifying the tax year(s).

Mark the “Misc. Tax” box for tax returns not listed and enter the tax type in the space provided (i.e., liquor enforcement, liquor drink, transient guest, motor fuel, IFTA, etc.); then specify the tax year(s).

For corporate, privilege and small business returns, specify the year ending date(s).

To request a copy of a refund check, a tax warrant, a Satisfaction of Judgment, or an account transcript, mark the appropriate box and enter the tax type and year. For documents that are not listed in this section, mark the “Other” box and provide a description under “Tax Type or Document Description.” If the document you are requesting can be found, and a copy provided, the Kansas Department of Revenue will use the fee structure in the next column to compute the amount you owe and send you a bill.

Complete Part III by totaling the “Number of Returns” column and the “Amount Due” column. Make your check or money order payable, in the amount due, to the “Kansas Department of Revenue.”

PART IV— Signature and Date

This form must be signed and dated by the taxpayer, officer for the taxpayer, or authorized tax preparer.

Enclose your check or money order with this form and mail it to the following address:

Record Requests
Kansas Department of Revenue
PO Box 3506
Topeka KS 66625-3506

When your returns/documents have been retrieved, a copy of them will be mailed to the address you have provided on this form.

If you prefer, you may use air express as a method of delivery, but you will be responsible for the charges. Payment must be made directly to the delivery service and you must provide the Kansas Department of Revenue with a prepaid envelope or an account number for such delivery.

NOTE: Tax records are considered confidential documents and are held in strict confidence by law; therefore, faxing them is not a delivery option.