INSTRUCTIONS: ARIZONA AUDIT DISCLOSURE AUTHORIZATION FORM (Form 285A)

To authorize an appointee to discuss tax matters related to an Arizona audit, a form 285A. This document can be obtained from the website maintained by the Arizona Department of Revenue.

Arizona Audit Disclosure Authorization Form 285A Step 1: The first section concerns information about the tax payer. In the first box, enter the taxpayer name.

Arizona Audit Disclosure Authorization Form 285A Step 2: In the second and third boxes, enter the taxpayer street address and, if applicable, apartment or suite number.

Arizona Audit Disclosure Authorization Form 285A Step 3: Enter the taxpayer city, town or post office in the fourth box, the state in the fifth box and the zip code in the sixth box.

Arizona Audit Disclosure Authorization Form 285A Step 4: Enter the taxpayer daytime phone number in the seventh box.

Arizona Audit Disclosure Authorization Form 285A Step 5: Enter the employer identification number, Arizona withholding number, Arizona transaction privilege tax license number or Social Security numbers. Enter only the applicable numbers.

Arizona Audit Disclosure Authorization Form 285A Step 6: The second section allows you to document up to two appointees. In the first box, enter their name.

Arizona Audit Disclosure Authorization Form 285A Step 7: Enter their address, if different from the one given above, including the city, state and zip code, in the next five boxes.

Arizona Audit Disclosure Authorization Form 285A Step 8: Enter the appointee's daytime phone number in the next box. Enter their Social Security number or other ID number in the last box of this section.

Arizona Audit Disclosure Authorization Form 285A Step 9: In the third section, indicate what type of tax matters the appointees are authorized to receive discuss confidential information regarding. Check "income tax," "transaction privilege and withholding tax," "withholding tax" or "other" as applicable. If the latter, specify.

Arizona Audit Disclosure Authorization Form 285A Step 10: Only complete the fourth section if you wish to revoke a previous authorization.

Arizona Audit Disclosure Authorization Form 285A Step 11: Enter your signature and date on the first blank line of the fifth section.

Arizona Audit Disclosure Authorization Form 285A Step 12: Print your name on the second blank line.

Arizona Audit Disclosure Authorization Form 285A Step 13: Enter your title on the third blank line.