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Form 285C Disclosure Certification
03-0031f.pdf |
Form Instructions
INSTRUCTIONS: ARIZONA DISCLOSURE CERTIFICATION FORM (Form 285C)
A form 285C is used by someone who has been authorized via a form 285 with power of attorney in Arizona tax matters or via a form 285B to receive confidential documents relating to tax matters. The form 285C certifies to the Arizona Department of Revenue that this person has been authorized legally authorized in either of these capacities. The document can be obtained from the website maintained by the Arizona Department of Revenue.
Arizona Disclosure Certification Form 285C Step 1: Section 1 concerns the taxpayer who has authorized you. Enter their name, their spouse's name if applicable, their present street address, apartment suite number (if applicable), city, town or post office, state, zip code, and daytime phone number including area code.
Arizona Disclosure Certification Form 285C Step 2: Additionally, supply all of the following applicable pieces of information: the taxpayer's Social Security number, their spouse's Social Security number, their employer identification number, and/or their Arizona transaction privilege tax license number.
Arizona Disclosure Certification Form 285C Step 3: Section 2 concerns the "signator," or authorized person. Enter your name and Social Security number or other identifying number on the first line. State what type of identification number you are providing.
Arizona Disclosure Certification Form 285C Step 4: On the second line, enter your business street address if different from the taxpayer's address provided above, your apartment or suite number, and your daytime phone number including area code.
Arizona Disclosure Certification Form 285C Step 5: On the third line, enter your city, town or post office, state and zip code.
Arizona Disclosure Certification Form 285C Step 6: In Section 3, enter the tax years and periods for which you are authorized to receive documentation and/or execute a power of attorney for.
Arizona Disclosure Certification Form 285C Step 7: Check the first statement in Section 4 if you are authorized to receive confidential information.
Arizona Disclosure Certification Form 285C Step 8: Check the second statement in Section 4 if you have received power of attorney.
Arizona Disclosure Certification Form 285C Step 9: Sign and date the first line in Section 5.
Arizona Disclosure Certification Form 285C Step 10: Print your name on the second line in Section 5.
Arizona Disclosure Certification Form 285C Step 11: Enter your title on the third line in Section 5.
A form 285C is used by someone who has been authorized via a form 285 with power of attorney in Arizona tax matters or via a form 285B to receive confidential documents relating to tax matters. The form 285C certifies to the Arizona Department of Revenue that this person has been authorized legally authorized in either of these capacities. The document can be obtained from the website maintained by the Arizona Department of Revenue.
Arizona Disclosure Certification Form 285C Step 1: Section 1 concerns the taxpayer who has authorized you. Enter their name, their spouse's name if applicable, their present street address, apartment suite number (if applicable), city, town or post office, state, zip code, and daytime phone number including area code.
Arizona Disclosure Certification Form 285C Step 2: Additionally, supply all of the following applicable pieces of information: the taxpayer's Social Security number, their spouse's Social Security number, their employer identification number, and/or their Arizona transaction privilege tax license number.
Arizona Disclosure Certification Form 285C Step 3: Section 2 concerns the "signator," or authorized person. Enter your name and Social Security number or other identifying number on the first line. State what type of identification number you are providing.
Arizona Disclosure Certification Form 285C Step 4: On the second line, enter your business street address if different from the taxpayer's address provided above, your apartment or suite number, and your daytime phone number including area code.
Arizona Disclosure Certification Form 285C Step 5: On the third line, enter your city, town or post office, state and zip code.
Arizona Disclosure Certification Form 285C Step 6: In Section 3, enter the tax years and periods for which you are authorized to receive documentation and/or execute a power of attorney for.
Arizona Disclosure Certification Form 285C Step 7: Check the first statement in Section 4 if you are authorized to receive confidential information.
Arizona Disclosure Certification Form 285C Step 8: Check the second statement in Section 4 if you have received power of attorney.
Arizona Disclosure Certification Form 285C Step 9: Sign and date the first line in Section 5.
Arizona Disclosure Certification Form 285C Step 10: Print your name on the second line in Section 5.
Arizona Disclosure Certification Form 285C Step 11: Enter your title on the third line in Section 5.
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