Salem, VA · City of Salem

No notary required

Business Information Release Form

Taxpayers or their authorized representatives use this form to request the release of private information associated with a business account.

What this form is

The form lets a taxpayer or authorized representative request private information for a business account from the Commissioner of the Revenue’s Office. The requestor identifies the business and taxpayer, describes the information requested, chooses how to receive it, and attests to their authority. A non-owner must attach a signed authorization letter unless one has already been submitted to the office.

Who needs it

A taxpayer or someone authorized by the taxpayer needs this form to request private information for a business account.

How to submit it

Remit the completed form to the Commissioner of the Revenue’s Office, 114 N Broad Street, Salem VA 24153. It may also be sent by fax to (540) 375-3048 or email to [email protected].

About notarization

This form is signed without a notary; a non-owner must attach a signed taxpayer authorization letter unless one is already on file.

How to submit this form

  1. 1

    Download the Form

    Download the Business Information Release Form.

  2. 2

    Complete the Request

    Enter the business and taxpayer details, describe the information requested, choose a transmittal method, and sign.

  3. 3

    Gather Authorization

    If you are not the legal account owner and authorization is not already on file, attach a signed taxpayer authorization letter.

  4. 4

    Submit to the City

    Remit the form to the Commissioner of the Revenue’s Office by mail, fax, or email.

Frequently asked questions

What is the Business Information Release Form for?
It is used to request private information associated with a business account from the Commissioner of the Revenue’s Office.
Who can request business account information?
The taxpayer or someone authorized by the taxpayer may request information. A requestor who is not the legal account owner may need to attach a signed authorization letter.
Do I need a notary for the Business Information Release Form?
No. The form is signed without a notary. If you are not the legal account owner and authorization is not already on file, attach a signed taxpayer authorization letter.
How do I submit the Business Information Release Form?
Send it to the Commissioner of the Revenue’s Office at 114 N Broad Street, Salem VA 24153, fax it to (540) 375-3048, or email it to [email protected].

Need something notarized?

This Business Information Release Form doesn’t need a notary — but if you have another Salem form that does, a commissioned online notary can help.