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

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Form Instructions

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

To authorize someone to receive Arizona individual income tax information on your behalf or to appoint them with power of attorney, use a form 285-I. This document can be obtained from the website of the Arizona Department of Revenue.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 1: Section 1 concerns the taxpayer. Enter your name and Social Security number in the first two blank boxes.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 2: Enter your present street address and daytime telephone number in the next two blank boxes.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 3: Enter your city or town or post office, state and zip code in the next blank box.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 4: Section 2 concerns the appointee. Enter their name in the first blank box.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 5: Enter the appointee's street address, if different from the taxpayer's, in the next blank box.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 6: Enter the appointee's city, town or post office, state and zip code in the next blank box.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 7: Enter the appointee's daytime phone number in the next blank box.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 8: Provide one of the four listed applicable identification numbers for the appointee.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 9: In section 3, list the tax years for which the appointee is authorized to receive confidential information.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 10: Check the box on line 4 if you wish to give the appointee power of attorney. Specify any limitations in the space provided.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 11: If you wish to revoke previous authorizations, check the box on line 5. This will revoke all previous authorizations. If you wish for some to remain in effect, list them where indicated.

Arizona Individual Income Tax Disclosure/Representation Authorization Form 285-I Step 12: The taxpayer should sign and print their name and enter the date in section 6, while the appointee should complete section 7.

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