Form 285B Disclosure Authorization Form
AZ_285B_DisclosureAuthorizationForm.pdf |
INSTRUCTIONS: ARIZONA DISCLOSURE AUTHORIZATION FORM (Form 285B)
An Arizona form 285B is used to appoint someone with the authority to receive and discuss confidential tax information on behalf of a taxpayer. This form is not used to confer power of attorney in these matters, which is done using a form 285C. Both documents can be obtained from the website of the Arizona Department of Revenue.
Arizona Disclosure Authorization Form 285B Step 1: Section 1 concerns the taxpayer. Enter your name in the first blank box.
Arizona Disclosure Authorization Form 285B Step 2: If applicable, enter your spouse's name in the second blank box.
Arizona Disclosure Authorization Form 285B Step 3: Enter your present street address in the third blank box. If applicable, enter your apartment or suite number in the fourth blank box.
Arizona Disclosure Authorization Form 285B Step 4: In the next four blank boxes, enter your city, town or post office, state, zip code and daytime phone number.
Arizona Disclosure Authorization Form 285B Step 5: As applicable, provide your Social Security number, your spouse's Social Security number, your employer identification number or your Arizona transaction privilege tax license number.
Arizona Disclosure Authorization Form 285B Step 6: In section 2, you may document up to two appointees. For one or both, enter their name, address (if different from yours), city, town or post office, state, zip code, daytime telephone number and Social Security number or other id number.
Arizona Disclosure Authorization Form 285B Step 7: Check the first box in section 3 if authorizing the appointee to discuss and receive materials pertaining to income tax. Enter the years or periods for which they are authorized to receive this information and check the applicable type of return or ownership.
Arizona Disclosure Authorization Form 285B Step 8: Check the second box if authorizing the appointee to discuss and receive materials pertaining to transaction privilege and use tax. Enter the years or periods for which they are authorized to receive this information and check the applicable type of return or ownership.
Arizona Disclosure Authorization Form 285B Step 9: In section 5, enter your signature and the date on the first blank line.
Arizona Disclosure Authorization Form 285B Step 10: Print your name on the second blank line.
Arizona Disclosure Authorization Form 285B Step 11: Enter your title on the third blank line.