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Form 821 Withholding Tax Information Authorization

10172_f.pdf

Form Instructions

INSTRUCTIONS: ARIZONA WITHHOLDING TAX INFORMATION AUTHORIZATION (Form 821)

If an Arizona taxpayer wishes to have a corporation, organization, firm or partnership authorized to receive confidential documentation and information regarding withholding taxes, they should file a form 821. Those wishing to authorize an individual must file a form 285-I. Both documents can be obtained from the website maintained by the Arizona Department of Revenue.

Arizona Withholding Tax Information Authorization 821 Step 1: Section 1 requires information about the taxpayer. On the first line, enter your name, daytime telephone number and Arizona withholding tax number.

Arizona Withholding Tax Information Authorization 821 Step 2: On the second line, enter your street address and federal employer identification number.

Arizona Withholding Tax Information Authorization 821 Step 3: On the third line, enter your city, state, zip code and Social Security number.

Arizona Withholding Tax Information Authorization 821 Step 4: Section 2 requires information about the appointee. In the box on the left, enter the business entity name on the first line.

Arizona Withholding Tax Information Authorization 821 Step 5: Enter the street address, including any suite or apartment number, of the appointee on the second line in the box on the left.

Arizona Withholding Tax Information Authorization 821 Step 6: On the third line, enter the appointee's city, state and zip code.

Arizona Withholding Tax Information Authorization 821 Step 7: In the box on the right, enter their business ID number on the first line.

Arizona Withholding Tax Information Authorization 821 Step 8: On the second line, enter their telephone number, including the area code.

Arizona Withholding Tax Information Authorization 821 Step 9: On the third line, enter their fax number, including the area code.

Arizona Withholding Tax Information Authorization 821 Step 10: In section 3, give the year or period for which they are authorized to receive or inspect confidential information.

Arizona Withholding Tax Information Authorization 821 Step 11: Section 4 states that by filing this authorization, you are revoking all previous authorizations. If this is not the case, check the box where indicated. You must also attach a copy of any withholding tax authorizations you wish to remain in effect.

Arizona Withholding Tax Information Authorization 821 Step 12: Section 5 should be signed by you and another taxpayer if applicable. Both parties should also print their name, as well as entering the date and their title.

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