Disclosure Forms and Information
Disclosure Requests
A taxpayer or authorized representative of the taxpayer, wishing to obtain tax returns or tax return information must submit a request, with payment (if applicable), to the Office of Privacy and Security, Disclosure Unit using Form 4095, Request and Consent for Disclosure of Tax Return and Tax Return Information. The request should be submitted to the following address:
Office of Privacy and Security, Disclosure Unit
Michigan Department of Treasury
430 W. Allegan St.
Lansing, MI 48922
Additional forms that may be used when submitting a Disclosure Request:
151 | Authorized Representative Declaration (Power of Attorney) |
2078 | Request for Disclosure of Michigan Tax Return Information (State and Local Government Units). |
3337 | Vendor, Contractor or Subcontractor Confidentiality Agreement |
4062 | State of Michigan Agency Employee Confidentiality Agreement |
4092 | Verification of Confidentiality Compliance |
4095 | Request and Consent for Disclosure of Michigan Tax Return Information |
4169 | Request for Michigan Principal Residence Information |
4170 | Local Government Employee Confidentiality Agreement |
4262 | Annual Revenue Report for Michigan Tax Information |
5440 | Request and Consent for Disclosure of City Tax Return Information |