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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