Free Request for Utah Tax Records, TC-880 - Utah

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Utah State Tax Commission

Request for Tax Records
Name of person requesting records Current mailing address Check box if you are a member of: the media City State

TC-880
Rev. 2/06

Daytime telephone number ZIP Code

If you are a member of a special interest group, please indicate the group a special interest group

Description of the Records Requested
Name of the taxpayer or entity shown on records Social security number / account number / employer identification number on record Description of records ICN number Tax or filing period

Number of records requested at $6.50 per record (additional expenses may be incurred if research is required)

$

Total amount received Office Use Only

If the name on the records differs from the name of the person requesting the records, please indicate which of the following apply: 1. 2. 3. The requester is the parent or legal guardian of the subject of the record who is 17 years or younger and unmarried. The requester is the legal guardian of the subject of the record who is a legally incapacitated individual. The requester is an officer, director, member or general partner of the entity.

If you check either box below, you must attach a copy of the power of attorney or notarized release to this form. 4. 5. The requester has a power of attorney from the subject of the record. The requester has a notarized release from the subject of the record or his legal representative dated no more than 90 days before the date the request for records is made.

Under penalties of perjury, I declare to the best of my knowledge and belief, this request, including accompanying documents, is true, correct and complete. Signature of requester Title Date

Utah law requires proof of requester's identity prior to release of private, controlled or protected information. If this form is mailed in, the requester's signature should be notarized in the space provided. If this form is presented in person, the requester must present proof of identification to the authorized examiner. Place notary stamp in this space Authorized examiner signature X Date Tax Commission/County Office Notary public signature X Date subscribed and sworn A driver's license is the preferred identification. Indicate the form of identification and the identification number used for proof.

If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or Telecommunication Device for the Deaf (TDD) (801) 297-2020. Please allow three working days for a response.

Date request was filled

Office Use Only USTC employee initials

IMPORTANT: To protect your privacy, use the "clear form" button when you are finished.

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