This document is a request form from the Rhode Island Division of Taxation to obtain a copy of an individual's income tax return. It requests the taxpayer's name, address, phone number, social security number, date of birth, tax year, type of return copy needed (certified, photo or transcript), fee, and signature. It provides instructions to mail the completed form and payment to the Rhode Island Division of Taxation to obtain the requested tax return copy.

1. RI-4506
STATE OF RHODE ISLAND
DIVISION OF TAXATION
REQUEST FOR COPY OF INCOME TAX RETURN(S)
Name(s) and address of taxpayer(s)
as shown on tax return: _____________________________________
_____________________________________
_____________________________________
Current address of taxpayer(s)
if different from above: ______________________________________
______________________________________
Telephone Number: ______________________________
Type of Tax: Personal Income Tax
Tax Form Number: ________________________________
Tax Year(s): ____________________________________
Social Security Number: ____________________________
Date of Birth: _________________
Spouse’s Social Security Number: ____________________
Date of Birth: _________________
Certified Copy Photo Copy Transcript of Account
$3.00 Charge $3.00 Charge No Charge
Per Return Per Return
This is a request for a copy of the above form(s) and all attachments.
___________________________________________ _________________
Signature Date
___________________________________________ _________________
Spouse’s Signature (if applicable) Date
______________
Total Enclosed
Make check payable to: Rhode Island Division of Taxation
One Capitol Hill
Providence, RI 02908-5800
FULL PAYMENT MUST ACCOMPANY THIS REQUEST
THE TAX DIVISION DOES NOT MAIL TO THIRD PARTIES
Rev.3/6/2008