INSTRUCTIONS: ARIZONA OFFICE OF ADMINISTRATIVE HEARINGS SUPPLEMENTAL POWER OF ATTORNEY (Form 01-5414)

When a disputed matter has been transferred by the Arizona Department of Revenue to the Office of Administrative Hearings for a hearing, an appointee with power of attorney from the taxpayer must file a form 01-5414 certifying they are authorized to receive confidential information and conduct negotiations on behalf of their client. This document can be obtained from the website of the Arizona Department of Revenue.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 1: Section 1 requires that you give the name or names of the taxpayer, their daytime telephone number, and their complete home address.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 2: Section 2 requires you to provide the applicable identification number for the taxpayer. Enter their Arizona transaction privilege tax number, federal employer identification number or Social Security number as appropriate.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 3: In section 3, give the name, address, ID number, telephone number and fax number for up to two representatives.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 4: In section 4, indicate with check marks whether you are authorized regarding transaction privilege tax, use tax, or other. If the latter, specify. Indicate the type of entity you are representing with a check mark and enter the assigned case number.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 5: In section 5, enter any specific restrictions in your power of attorney.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 6: In section 6, indicate with a check mark whether notices and similar notifications should be sent only to the first-named representative or to both.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 7: Section 7 requires you to attach a copy of any Department of Revenue power of attorney.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 8: In section 8, one or both representatives must print and sign their name, enter their title and give the date.

Arizona Office Of Administrative Hearings Supplemental Power Of Attorney 01-5414 Step 9: Mail the completed form to the address at the bottom of the second page.