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  1. 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 authority to sign the Form 4506-T. See instructions. Phone number of taxpayer on line la or 2a Date Sign Here

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  2. Signatory attests that he/she has read the attestation clause and upon so reading declares that he/she has the authority to sign the Form 4506-T. See instructions. Phone number of taxpayer on line 1a or 2a . Sign Here Signature (see instructions) Date Title (if line 1a above is a corporation, partnership, estate, or trust) Spouse’s signature

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  4. Attestation clause: The requester must read and agree to the attestation clause on Form 4506-T. The box must be checked and the “Title” line must be completed to have Form 4506-T processed. Signature/title requirements: The Requester must be authorized to receive the information.

  5. Instructions to use attached IRS Form 4506-T to request 2019 Tax Return Transcripts or Verifi cation of Nonfi ling from the IRS. 243 Whitmore Administration Building 181 Presidents Drive, Amherst, MA 01003 fi naid@fi naid.umass.edu Phone: 413-545-0801 • Fax: 413-545-1700. TAX RETURN FILERS: Use one form per person, per request.

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  6. 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

  7. 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 authority to sign the Form 4506-T. See instructions. Phone number of taxpayer on line 1a or 2a . Sign Here Signature

  8. Where To Send Form 4506-T(Include your full name and your Application Reference # on all correspondence submitted to the SBA.) Submit your completed document(s) to: Fax: 202-481-1505 or E-mail: ELA.DOC@sba.gov Mail to:U.S. Small Business Administration Processing & Disbursement Center Attn: ELA Mail Department P.O. Box 156119 Fort Worth, TX 76155

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