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Form 285 General Disclosure/Representation Authorization Form

AZ_285_GeneralDisclosureRepresentAuthorForm.pdf

Form Instructions

INSTRUCTIONS: ARIZONA GENERAL DISCLOSURE/REPRESENTATION AUTHORIZATION FORM (Form 285)

An Arizona form 285 is used to appoint someone to receive and discuss confidential tax information on behalf of a taxpayer, or to grant them power of attorney. This document can be obtained from the website of the Arizona Department of Revenue.

Arizona General Disclosure/Representation Authorization Form 285 Step 1: Section 1 concerns the taxpayer. Enter your name in the first blank box.

Arizona General Disclosure/Representation Authorization Form 285 Step 2: Enter your present street address in the second blank box. If applicable, enter your apartment or suite number in the third blank box.

Arizona General Disclosure/Representation Authorization Form 285 Step 3: Enter your city, town or post office in the fourth blank box, your state in the fifth blank box, and your zip code in the sixth blank box.

Arizona General Disclosure/Representation Authorization Form 285 Step 4: Enter your daytime telephone number, including the area code, in the seventh blank box.

Arizona General Disclosure/Representation Authorization Form 285 Step 5: Enter your employer identification number, Social Security number or Arizona transaction privilege tax license number as applicable.

Arizona General Disclosure/Representation Authorization Form 285 Step 6: Section 2 concerns the appointee. Enter their name in the first blank box, their street address in the second blank box, their apartment or suite number (if applicable) in the third blank box, their city, town or post office, state and zip code in the next three blank boxes, and their daytime telephone number in the next blank box. On the right, provide one of the applicable identifying numbers.

Arizona General Disclosure/Representation Authorization Form 285 Step 7: In section 3, indicate with check marks which types of taxes the appointee is authorized to receive and discuss information concerning.

Arizona General Disclosure/Representation Authorization Form 285 Step 8: In section 4, indicate with check marks all additional authorizations conferred upon the appointee.

Arizona General Disclosure/Representation Authorization Form 285 Step 9: Check the box in section 5 if conferring power of attorney. Specify any limitations where indicated.

Arizona General Disclosure/Representation Authorization Form 285 Step 10: Check the box in section 6 if revoking earlier authorizations. If so, specify any you wish to remain in effect. Section 7 is only for corporations having controlled subsidiaries. All taxpayers should complete Section 8.

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