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Form 285-I Individual Income Tax Disclosure/Representation Authorization Form

03-0033f.pdf

Form Instructions

INSTRUCTIONS: ARIZONA INDIVIDUAL INCOME TAX DISCLOSURE/REPRESENTATION AUTHORIZATION FORM (Form 285-I)

To authorize a single person to either receive confidential documents relating to an individual income tax matter or to confer power of attorney upon them, you must file a form 285-I. This document can be obtained from the website maintained by the Arizona Department of Revenue.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 1: The first section requires information about the taxpayer. On the first line enter your name and that of your spouse if filing jointly, and your Social Security number(s).

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 2: On the second line, enter your present street address, apartment or suite number (if applicable), and daytime telephone number including area code.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 3: On the third line, enter your city, town or post office, state and zip code.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 4: Section 2 requires information about the appointee. In the section on the left, provide their name, present address and daytime telephone number including area code.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 5: On the right side, provide one of the listed identification numbers.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 6: In section 3, give the tax years your appointee is authorized to receive confidential information regarding.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 7: Check the box in section 4 if you wish to give the appointee power of attorney.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 8: Check the box in section 5 if you wish to revoke any previous powers of attorney. If you wish to retain some of these, specify which.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 9: In section 6, sign and print your name, as well as entering the date. If applicable, your spouse must do the same.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 10: In section 7, the practitioner should sign their name, enter the date, the jurisdiction they are practicing in, and indicate whether they are an attorney, certified public accountant, federally authorized tax practitioner or other.

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