Department of Revenue ServicesState of Connecticut450 Columbus Blvd Ste 1Hartford CT 06103-1837(Rev. 04/18)Mail or hand-deliver this request to the address above. Please put the caption Request for Tax Returns or Tax Return Information on the envelope.Part 1 227 Whose Returns Are You Requesting? Taxpayer name � Social Security Number Business name � CT Tax Registration Number Street address � City � State � ZIP Code � Federal Employer ID Number Taxpayer is: (Check a box) � Corporation � Partnership � Sole Proprietorship � Trust (other than a business trust) � Estate � Individual � Limited Liability Company � Business Trust � Other (Specify.)Part 2 227 Information Requested: (Copy of return) � For Tax Periods: � � Income tax � � Sales and Use tax � � Corporation Business tax � Copy of Audit Workpapers � � Account reconciliation � (See instructions.) � � Gift tax � � Other return type � � Other (Specify.)Part 3 227 What Is Your Status?Check a box Sole Proprietor � Partner (Check box for partnership in � Guarantor (Attach guaranty.) � (Check box in Part 1.) � Part 1; attach partnership agreement.) Receiver � Trustee (Check appropriate box for � Other (Specify.) � � � � � � � � � Successor � Assignee � Individual � (Attach agreement.) � (Attach assignment.) � Authorized Representative � Executor or Administrator � � � � � � � (Attach LGL-001, Power of Attorney. � � � � � � � � � � � � � � � � � � � � Member of a limited liability company that is not managed by managers � Manager of a limited liability company that is managed by managers. � (Check box for limited liability company in Part 1.) � (Check box for limited liability company in Part 1.) Part 4 227 What Is Your Name and Mailing Address? Name of person making request � Telephone number � Your email address Street address � City � State � ZIP Code Part 5 227 Request for Information to be Mailed to a Third Party � Check here if you wish to have the tax returns or tax return information mailed to a third party � en � (a person other than the requestor named in Part 4) Name � Street address � City � State � ZIP Code Part 6 227 Declaration � � � � � � � � � � � � � � � � � � � � � � � � � � � � I am permitted by the instructions on this form to make this request. (Attach LGL-001, Power of Attorney.) � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Signature � Title � Date LGL-002Request for Disclosure ofTax Returns or Tax Return Information American LegalNet, Inc. www.FormsWorkFlow.com Use Form LGL-002, Request for Disclosure of Tax Returns or Tax Return Information, to request copies of tax returns, tax return information, or certain other documents, such as audit workpapers, from the Department of Revenue Services (DRS). Put the caption Request for Tax Returns or Tax Return Information on the envelope.Mail or hand-deliver this request to: � Operations Bureau/Business Team 1 � � Department of Revenue Services � 450 Columbus Blvd, Ste 1 � Hartford CT 06103-1837 Who Is Entitled to Make This Request? � Any individual, if the request is for an income tax return his or her spouse if the request is for a joint income tax return). (Check the applicable box in Part 1 and Part 3.); � A limited liability company (LLC) member, if the taxpayer is an LLC and has no manager, or a manager, if the taxpayer is an LLC and has managers; � The sole proprietor, if the taxpayer is a sole proprietorship; � A general partner, if the taxpayer is a partnership or a limited partnership; � The administrator or executor, if the taxpayer is an estate; � The trustee, if the taxpayer is a trust; � corporation; any person who is designated by the board of directors or other governing body of the corporation; or any other person who is authorized to receive or inspect the corporation222s return or return information under I.R.C. 2476103(e)(1)(D); � The successor, receiver, guarantor, or any assignee of the taxpayer; or � The authorized representative of any of the above. Part 1: � Whose Returns Are You Requesting? Provide the taxpayer222s name, business name (dba), address, Social Security Number, Connecticut Tax Registration applicable. Check the box that indicates the type of taxpayer for which a tax return or tax return information is being requested. Part 2: � Information Requested Check the tax type and enter the tax periods or tax years for which you are requesting a tax return or tax return Instructionsinformation. The terms years and periods can indicate various time frames. For example, a tax year may be a 7/1/15 through 6/30/16 for corporation business tax. A tax period may have one or more monthly or quarterly periods. For example, a sales and use tax period of 1/1/13 through 12/31/15 may contain 36 monthly or 12 quarterly periods. Account Reconciliation: DRS will provide an account between DRS and the taxpayer222s records. When requesting an account reconciliation, you must provide a short in question. Attach any documentation, such as copies (front and back) of cancelled checks, that will help us in resolving any differences. This form should not be used to verify the application of payments. To verify the application of a payment, call 860-297-5962.Part 3: What Is Your Status?Check the box that indicates your relationship to the taxpayer for whom you are requesting a copy of a tax return or tax return information. You must also attach the requested documentation to support the status that entitles you to make this request. Part 4: � What Is Your Name and Mailing Address? Provide the requested information so a DRS representative can contact you if we need additional information. Part 5: � Request for Information to be Mailed to a Third Party Check the box if you wish to have the tax return or tax return information mailed to a third party (a person other than the requestor named in Part 4). If you are not the individual or business that the tax return or tax return information pertains to, you must attach documentation to support the status that entitles you to make this request. This request is for a one-time use only. Any subsequent requests must be made by submitting a new Form LGL-002. Any request that DRS mail tax returns or tax return information to a third party will not change the taxpayer222s address of record with DRS. Part 6: � Declaration You must sign the declaration section of Form LGL-002. Only the taxpayer or an authorized representative listed in Part 1 can sign this section. For example, if the taxpayer is other than a natural person (an estate), DRS requires the signature of the individual who is the authorized representative of the taxpayer. LGL-002 (Rev. 04/18) American LegalNet, Inc. www.FormsWorkFlow.com