The Mississippi Tax Transcript Request Form 80-700 certifies individual income tax return filings for the last four years, issued by the Mississippi Department of Revenue Individual Income Tax Division solely for filing proof. Submit one form per individual regardless of filing status, with $10 payment via cash, cashier’s check, or money order; personal checks rejected. Mail original signed form and payment to Mississippi Department of Revenue, Individual Income Tax Transcript Request, P.O. Box 1033, Jackson, MS 39215-1033; faxes unacceptable. Provide all details or NA if inapplicable; incomplete forms unprocessed. No notarization needed for taxpayer delivery, but required for third parties, waiving confidentiality under Mississippi Code sections 27-3-73 and 27-7-83. Processing takes ten business days; transcripts reflect provided info and subject to amendment if erroneous.
How to Submit the Form
Use one form per person. Include $10 payment (cashier’s check or money order). Provide complete info for each requested year. Sign originally. Mail to P.O. Box 1033, Jackson, MS 39215-1033. Allow 10 business days. Notarize only for third-party release.
Taxpayer Information
FULL NAME
Enter your full legal name.
ADDRESS
Enter street address.
CITY, STATE, ZIP CODE
Enter city, state abbreviation, ZIP code.
SOCIAL SECURITY NUMBER
Enter your SSN.
SIGNATURE
Sign with original ink.
DATE
Enter MM/DD/YYYY.
Tax Year Information (For Each Year Requested)
Tax year
Enter year (e.g., 2025) for each of last four years.
Filing Status
Enter S for Single, MFJ for Married Filing Joint, MFS for Married Filing Separate, HOF for Head of Household, W for Widowed.
Full Legal Name of Joint Filer
Enter spouse’s full name if joint.
Joint Filers Social Security
Enter spouse’s SSN if joint.
Third Party Delivery (If Applicable)
NAME
Enter recipient’s full name.
ADDRESS
Enter recipient’s street address.
CITY, STATE, ZIP CODE
Enter recipient’s city, state, ZIP.
Please send my tax transcript to the person indicated above.
Check if requesting third-party mail.
I understand that by requesting my tax transcript to be sent to a third party, I am waiving the confidentiality provisions of 27-3-73 and 27-7-83 of the Mississippi Code of 1972.
Acknowledge waiver.
SIGNATURE
Re-sign.
DATE
Re-date.
Notary Section (Required for Third Party)
SWORN AND SUBSCRIBED BEFORE ME THIS THE DAY OF , 20.
Notary completes date.
My Commission Expires
Notary enters expiration.
NOTARY PUBLIC SEAL
Notary affixes seal.
Payment Note
Include $10 cash, cashier’s check, or money order with form. No personal checks. Payment required before processing.