Shuttered Venue Operators Grant - 4506-T Form
Summary
Shuttered Venue Operators Grant version of IRS Form 4506-T (March 2019), Request for Transcript of Tax Return, OMB No. 1545-1872, from the Department of the Treasury Internal Revenue Service, with its instructions. The form lets a taxpayer order a transcript or other return information free of charge and notes that Form 4506 is used for a copy of the return, for a fee. Its lines ask for the name and taxpayer identification number on the return, a spouse's details for a joint return, current and previous addresses and a third-party recipient. The page also carries the general instructions and line-by-line guidance for completing the form.
Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used
Full text
SVOG
Form 4506-T
(March 2019)
Request for Transcript of Tax Return
▶ Do not sign this form unless all applicable lines have been completed.
OMB No. 1545-1872
▶ Request may be rejected if the form is incomplete or illegible.
Department of the Treasury
Internal Revenue Service ▶ For more information about Form 4506-T, visit www.irs.gov/form4506t.
Tip. Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can quickly request transcripts by using our automated
self-help service tools. Please visit us at IRS.gov and click on “Get a Tax Transcript...” under “Tools” or call 1-800-908-9946. If you need a copy of your return, use Form 4506,
Request for Copy of Tax Return. There is a fee to get a copy of your return.
1a Name shown on tax return. If a joint return, enter the name 1b First social security number on tax return, individual taxpayer identification
shown first. number, or employer identification number (see instructions)
2a If a joint return, enter spouse’s name shown on tax return. 2b Second social security number or individual taxpayer identification
number if joint tax return
3 Current name, address (including apt., room, or suite no.), city, state, and ZIP code (see instructions)
4 Previous address shown on the last return filed if different from line 3 (see instructions)
5a If the transcript or tax information is to be mailed to a third party (such as a mortgage company), enter the third party’s name, address,
and telephone number.
U. S. Small Business Administration Office of Disaster, 14925 Kingsport Rd, Fort Worth, TX 76155: ODApdc02
5b Customer file number (if applicable) (see instructions)
Caution: If the tax transcript is being mailed to a third party, ensure that you have filled in lines 6 through 9 before signing. Sign and date the form once you have
filled in these lines. Completing these steps helps to protect your privacy. Once the IRS discloses your tax transcript to the third party listed on line 5a, the IRS has
no control over what the third party does with the information. If you would like to limit the third party’s authority to disclose your transcript information, you can
specify this limitation in your written agreement with the third party.
6 Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check the appropriate box below. Enter only one tax form number
per request. ▶
a Return Transcript, which includes most of the line items of a tax return as filed with the IRS. A tax return transcript does not reflect changes made
to the account after the return is processed. Transcripts are only available for the following returns: Form 1040 series, Form 1065, Form 1120, Form
1120-A, Form 1120-H, Form 1120-L, and Form 1120S. Return transcripts are available for the current year and returns processed during the prior 3
processing years. Most requests will be processed within 10 business days . . . . . . . . . . . . . . . . . . . . .
b Account Transcript, which contains information on the financial status of the account, such as payments made on the account, penalty assessments,
and adjustments made by you or the IRS after the return was filed. Return information is limited to items such as tax liability and estimated tax
payments. Account transcripts are available for most returns. Most requests will be processed within 10 business days . . . . . . . . .
c Record of Account, which provides the most detailed information as it is a combination of the Return Transcript and the Account Transcript.
Available for current year and 3 prior tax years. Most requests will be processed within 10 business days . . . . . . . . . . . .
7 Verification of Nonfiling, which is proof from the IRS that you did not file a return for the year. Current year requests are only available after June
15th. There are no availability restrictions on prior year requests. Most requests will be processed within 10 business days . . . . . . . .
8 Form W-2, Form 1099 series, Form 1098 series, or Form 5498 series transcript. The IRS can provide a transcript that includes data from these
information returns. State or local information is not included with the Form W-2 information. The IRS may be able to provide this transcript information for
up to 10 years. Information for the current year is generally not available until the year after it is filed with the IRS. For example, W-2 information for 2011,
filed in 2012, will likely not be available from the IRS until 2013. If you need W-2 information for retirement purposes, you should contact the Social Security
Administration at 1-800-772-1213. Most requests will be processed within 10 business days . . . . . . . . . . . . . . . . .
Caution: If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099 filed
with your return, you must use Form 4506 and request a copy of your return, which includes all attachments.
9 Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format. If you are requesting more than four years or
periods, you must attach another Form 4506-T. For requests relating to quarterly tax returns, such as Form 941, you must enter
each quarter or tax period separately. 12 / 31 / 2019
Caution: Do not sign this form unless all applicable lines have been completed.
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 information
requested. If the request applies to a joint return, at least one spouse must sign. If signed by a corporate officer, 1 percent or more shareholder, partner, managing
member, guardian, tax matters partner, executor, receiver, administrator, trustee, or party other than the taxpayer, I certify that I have the authority to execute
Form 4506-T on behalf of the taxpayer. Note: This form must be received by IRS within 120 days of the signature date.
Signatory attests that he/she has read the attestation clause and upon so reading declares that he/she has the Phone number of taxpayer on line 1a
authority to sign the Form 4506-T. See instructions. or 2a
▲ ▲ ▲
Signature (see instructions) Date
Sign
Here Title (if line 1a above is a corporation, partnership, estate, or trust)
Spouse’s signature Date
For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 37667N Form 4506-T (Rev. 3-2019)
Form 4506-T (Rev. 3-2019) Page 2
Section references are to the Internal Revenue Code unless
otherwise noted. Chart for all other transcripts Corporations. Generally, Form 4506-T can be signed by:
(1) an officer having legal authority to bind the corporation, (2)
Future Developments If you lived in any person designated by the board of directors or other
or your business was Mail or fax to: governing body, or (3) any officer or employee on written
For the latest information about Form 4506-T and its request by any principal officer and attested to by the
instructions, go to www.irs.gov/form4506t. Information about in:
secretary or other officer. A bona fide shareholder of record
any recent developments affecting Form 4506-T (such as owning 1 percent or more of the outstanding stock of the
Alabama, Alaska, Arizona,
legislation enacted after we released it) will be posted on that corporation may submit a Form 4506-T but must provide
page. Arkansas, California,
documentation to support the requester's right to receive the
Colorado, Connecticut,
What's New. The transcripts provided by the IRS have been information.
modified to protect taxpayers' privacy. Transcripts only Delaware, District of
Partnerships. Generally, Form 4506-T can be signed by
display partial personal information, such as the last four Columbia, Florida, Georgia, any person who was a member of the partnership during any
digits of the taxpayer's Social Security Number. Full financial Hawaii, Idaho, Illinois, part of the tax period requested on line 9.
and tax information, such as wages and taxable income, is Indiana, Iowa, Kansas, All others. See section 6103(e) if the taxpayer has died, is
shown on the transcript. Kentucky, Louisiana, insolvent, is a dissolved corporation, or if a trustee, guardian,
A new optional Customer File Number field is available to use Maryland, Michigan,
Internal Revenue Service
executor, receiver, or administrator is acting for the taxpayer.
when requesting a transcript. You have the option of Minnesota, Mississippi,
RAIVS Team
Note: If you are Heir at law, Next of kin, or Beneficiary you
inputting a number, such as a loan number, in this field. You
Missouri, Montana,
P.O. Box 9941 must be able to establish a material interest in the estate or
can input up to 10 numeric characters. The customer file
Nebraska, Nevada, New
Mail Stop 6734 trust.
number should not contain an SSN. This number will print on Ogden, UT 84409
the transcript. The customer file number is an optional field Jersey, New Mexico, North Documentation. For entities other than individuals, you
and not required. Carolina, North Dakota, Ohio, must attach the authorization document. For example, this
Oklahoma, Oregon, Rhode could be the letter from the principal officer authorizing an
General Instructions Island, South Carolina, South
employee of the corporation or the letters testamentary
authorizing an individual to act for an estate.
Caution: Do not sign this form unless all applicable lines Dakota, Tennessee, Texas,
Utah, Virginia, Washington,
855-298-1145 Signature by a representative. A representative can sign
have been completed. Form 4506-T for a taxpayer only if the taxpayer has
Purpose of form. Use Form 4506-T to request tax return West Virginia, Wisconsin, specifically delegated this authority to the representative on
information. You can also designate (on line 5a) a third party Wyoming, a foreign country, Form 2848, line 5. The representative must attach Form 2848
to receive the information. Taxpayers using a tax year American Samoa, Puerto showing the delegation to Form 4506-T.
beginning in one calendar year and ending in the following Rico, Guam, the
year (fiscal tax year) must file Form 4506-T to request a return Commonwealth of the Privacy Act and Paperwork Reduction Act Notice. We ask
transcript. for the information on this form to establish your right to gain
Northern Mariana Islands,
Note: If you are unsure of which type of transcript you need, access to the requested tax information under the Internal
the U.S. Virgin Islands,
request the Record of Account, as it provides the most Revenue Code. We need this information to properly identify
A.P.O. or F.P.O. address the tax information and respond to your request. You are not
detailed information.
required to request any transcript; if you do request a
Maine, Massachusetts, New Internal Revenue Service
Tip. Use Form 4506, Request for Copy of transcript, sections 6103 and 6109 and their regulations
Hampshire, New York, RAIVS Team require you to provide this information, including your SSN or
Tax Return, to request copies of tax returns.
Pennsylvania, Vermont Stop 6705 S-2 EIN. If you do not provide this information, we may not be
Automated transcript request. You can quickly request
transcripts by using our automated Kansas City, MO 64999 able to process your request. Providing false or fraudulent
self-help service tools. Please visit us at IRS.gov and click on information may subject you to penalties.
“Get a Tax Transcript...” under “Tools” or call Routine uses of this information include giving it to the
1-800-908-9946. Department of Justice for civil and criminal litigation, and
855-821-0094
cities, states, the District of Columbia, and U.S.
Where to file. Mail or fax Form 4506-T to
commonwealths and possessions for use in administering
the address below for the state you lived in, Line 1b. Enter your employer identification number (EIN) if their tax laws. We may also disclose this information to other
or the state your business was in, when that return was filed. your request relates to a business return. Otherwise, enter the countries under a tax treaty, to federal and state agencies to
There are two address charts: one for individual transcripts first social security number (SSN) or your individual taxpayer enforce federal nontax criminal laws, or to federal law
(Form 1040 series and Form W-2) and one for all other identification number (ITIN) shown on the return. For enforcement and intelligence agencies to combat terrorism.
transcripts. example, if you are requesting Form 1040 that includes
Schedule C (Form 1040), enter your SSN. You are not required to provide the information requested
If you are requesting more than one transcript or other
on a form that is subject to the Paperwork Reduction Act
product and the chart below shows two different addresses,
Line 3. Enter your current address. If you use a P.O. box, unless the form displays a valid OMB control number. Books
send your request to the address based on the address of
include it on this line. or records relating to a form or its instructions must be
your most recent return.
Line 4. Enter the address shown on the last return filed if retained as long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax
Chart for individual transcripts different from the address entered on line 3.
returns and return information are confidential, as required by
(Form 1040 series and Form W-2 Note: If the addresses on lines 3 and 4 are different and you section 6103.
have not changed your address with the IRS, file Form 8822,
and Form 1099) Change of Address. For a business address, file Form 8822-
The time needed to complete and file Form 4506-T will
vary depending on individual circumstances. The estimated
B, Change of Address or Responsible Party — Business.
If you filed an average time is: Learning about the law or the form, 10
Line 5b. Enter up to 10 numeric characters to create a unique min.; Preparing the form, 12 min.; and Copying,
individual return and Mail or fax to: customer file number that will appear on the transcript. The assembling, and sending the form to the IRS, 20 min.
lived in: customer file number should not contain an SSN. If you have comments concerning the accuracy of these
Completion of this line is not required. time estimates or suggestions for making Form 4506-T
Alabama, Kentucky, Louisiana,
Internal Revenue Service Note. If you use an SSN, name or combination of both, we simpler, we would be happy to hear from you. You can write
Mississippi, Tennessee,
RAIVS Team will not input the information and the customer file number to:
Texas, a foreign country,
will be blank on the transcript.
American Samoa, Puerto Rico, Stop 6716 AUSC
Line 6. Enter only one tax form number per Internal Revenue Service
Guam, the Commonwealth of Austin, TX 73301 Tax Forms and Publications Division
request.
the Northern Mariana Islands, 1111 Constitution Ave. NW, IR-6526
Signature and date. Form 4506-T must be signed and dated
the U.S. Virgin Islands, or Washington, DC 20224
by the taxpayer listed on line 1a or 2a. The IRS must receive
A.P.O. or F.P.O. address 855-587-9604 Form 4506-T within 120 days of the date signed by the Do not send the form to this address. Instead, see Where
taxpayer or it will be rejected. Ensure that all applicable lines to file on this page.
Alaska, Arizona, Arkansas, are completed before signing.
Internal Revenue Service
California, Colorado, Hawaii,
▲
RAIVS Team You must check the box in the signature area
!
Idaho, Illinois, Indiana, Iowa, to acknowledge you have the authority to sign
Stop 37106
Kansas, Michigan, Minnesota, and request the information. The form will not
Fresno, CA 93888
Montana, Nebraska, Nevada, be processed and returned to you if the
New Mexico, North Dakota, CAUTION box is unchecked.
Oklahoma, Oregon, South
Individuals. Transcripts of jointly filed tax returns may be
Dakota, Utah, Washington, furnished to either spouse. Only one signature is required.
855-800-8105
Wisconsin, Wyoming Sign Form 4506-T exactly as your name appeared on the
original return. If you changed your name, also sign your
Connecticut, Delaware, District current name.
Internal Revenue Service
of Columbia, Florida, Georgia,
RAIVS Team
Maine, Maryland,
Stop 6705 S-2
Massachusetts, Missouri, New
Kansas City, MO 64999
Hampshire, New Jersey, New
York, North Carolina, Ohio,
Pennsylvania, Rhode Island,
South Carolina, Vermont,
855-821-0094
Virginia, West Virginia
File and source
- File
- 2021-04_SBA-Form-4506T-March-2019-Version-SVOG-fillable-v2-instruct-508.pdf
- Size
- 377,259 bytes
- SHA-256
- f9c3f4ea5b8586d623d7dd67b71db7b9e981582b9705eaea2b883c1840135a12
- Original
- www.sba.gov