INSTRUCTIONS: ARIZONA AUDIT DISCLOSURE AUTHORIZATION FORM (Form 285A) People who are undergoing a state audit related to payment of Arizona income, withholding or transaction privilege taxes may use a form 285A to appoint up to two people at a time with the power of attorney to discuss and receive confidential information about your finances. This form can also be used to revoke some or all prior authorizations. This document can be obtained from the website maintained by the Arizona Department of Revenue. Complete the document by printing or typing your answers. Arizona Audit Disclosure Authorization Form 285A Step 1: Section 1 requires you to provide identifying information about the taxpayer. Enter your name, present address, city, state, zip code, Social Security number and daytime telephone number including the area code. Arizona Audit Disclosure Authorization Form 285A Step 2: If you have an employer identification number, Arizona withholding number or Arizona transaction privilege number, enter this identifying information as well. Arizona Audit Disclosure Authorization Form 285A Step 3: Section 2 requires you to give the name, complete address (if different from yours as given in Section 1), daytime telephone number including the area code, Social Security number or other identification number, and type of one or two appointees. Arizona Audit Disclosure Authorization Form 285A Step 4: In section 3, you must indicate with check marks whether you authorize discussions of income, transaction privilege and withholding or other types of taxes. Indicate the type of return or ownership for the first two categories with a check mark. Six types of income tax returns and ownership are listed, while seven types of transaction privilege and withholding tax returns and ownership are listed. If you are specifying "other," write what types of returns you are authorizing your representative to discuss and what type of ownership you have in these returns. Arizona Audit Disclosure Authorization Form 285A Step 5: If you wish to revoke a previous authorization form, check the box next to section 4. If you do not wish to revoke all previous authorizations, enter the ones you wish to remain in effect. Arizona Audit Disclosure Authorization Form 285A Step 6: In section 5, sign and date the form where indicated. Print your name and title. Your spouse, if applicable, must do the same.