Virginia Request For A Copy Of Tax Return

Request For A Copy Of Tax Return
Form VA-1
Form VA-1

VIRGINIA DEPARTMENT OF TAXATION
REQUEST FOR COPY OF TAX RETURN

There is a $5 fee for each tax return requested. Full payment must be enclosed with your request.
All fields are required. Complete form legibly or we may not be able to process your request.
You may request copies up to five tax periods back. Request may take up to 30 days to process.
COMPLETE THIS SECTION TO REQUEST COPIES OF INDIVIDUAL INCOME TAX RETURNS
Taxpayer’s name as shown on tax return

Social Security Number

Birth Date (mm/dd/yyyy)

If joint return filed, spouse’s name as shown on tax return

Social Security Number

Birth Date (mm/dd/yyyy)

Mailing Address (if different)	

Address as shown on last tax return filed
Address Line 1

Address Line 1

Address Line 2

Address Line 2

City, State, ZIP Code

City, State, ZIP Code

Change of Address

Tax Periods Requested

COMPLETE THIS SECTION TO REQUEST COPIES OF BUSINESS TAX RETURNS
Legal Name of Business

Federal Employer Identification Number (9 digits)

Sole Proprietor’s Name (if applicable)

Sole Proprietor’s Social Security Number

Address as shown on last tax return filed

Mailing Address (if different)	

Address Line 1

Address Line 1

Address Line 2

Address Line 2

City, State, ZIP Code

City, State, ZIP Code

Change of Address

Request tax return copies for Sales Tax, Employer Withholding Tax, Corporation Income Tax or other business taxes. Attach additional sheets as
necessary to indicate multiple tax types and/or tax periods.
Tax Types Requested
Tax Periods Requested

SIGNATURE OF AUTHORIZED REQUESTOR
For copies of individual income tax returns, I declare I am the primary taxpayer, spouse, court appointed representative, or power of attorney. For copies
of business tax returns, I declare I am the owner, officer or power of attorney for this business.
Check if:	

	

	

Court appointed representative. Attach appointment papers.
Power of attorney (POA). Attach POA documentation. Form PAR 101 does not authorize the release of tax return copies.

Print name

Date

Signature

Title

Phone Number

Reason for request:

Total Returns Requested

X $5.00 =

$

DO NOT SEND CASH
Make check or money order payable to
Virginia Department of Taxation

MAIL COMPLETED FORM AND CHECK OR MONEY ORDER TO P.O. BOX 1317, RICHMOND, VA 23218-1317
For Office Use Only:
VA-1 WEB 2601185 Rev. 06/15