Nebraska Nebraska Tax Return Copy Request

Nebraska Tax Return Copy Request 
Form 23
RESET FORM

Nebraska Tax Return Copy Request
Name and Address of Taxpayer

23

Authorized Mailing Address for Tax Return

	Name			

Name

	 Street or Other Mailing Address			

Street or Other Mailing Address

	 City	

City	

State	

FORM

Zip Code	

	 Email Address	

Social Security Number	

	 Type of Tax Return	

Tax Period or Taxable Year Beginning	

State	

Zip Code

Nebraska ID Number	

	 I hereby certify that I authorize the release of the tax return specified above, the information contained in the return, and the mailing of this
information to the above address.

sign
here

				
Signature of Taxpayer or Authorized Representative	
Title	
Date	
Email Address	
Department of Revenue Authorized Signature	

Title	

Date	

Phone Number
Phone Number

Instructions
Who Must File. A taxpayer or authorized representative must complete Form 23 to
obtain a copy or transcript of any tax return filed with the Nebraska Department of
Revenue (DOR). Taxpayers who request copies of e-filed tax returns will be provided a
transcript of the tax return information.Taxpayers who use the NebFile for Business
program can print a copy of the filed returns by accessing the e-file system.
Type of Tax Return. Enter the return number or the name of the tax program, e.g.,
Form 1040N.
An authorized representative must have a power of attorney on file with DOR before
requesting taxpayer information. A person who signs a tax return as preparer may
request a copy of the return because this person is considered to have a power of
attorney limited to the information contained on the return.
Authorized Mailing Address. Only complete the authorized mailing address section
if the copy of the original tax returns requested should be mailed to an address different
than that of the taxpayer.

Mail this request to: Nebraska Department of Revenue, PO Box 94818, Lincoln, NE 68509-4818
7-136-1977 Rev. 7-2020
Supersedes 7-136-1977 Rev. 6-2017