Free TC-737, Power of Attorney and Declaration of Representative - Utah


File Size: 29.3 kB
Pages: 1
File Format: PDF
State: Utah
Category: Tax Forms
Word Count: 287 Words, 1,798 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://tax.utah.gov/forms/current/tc-737.pdf

Download TC-737, Power of Attorney and Declaration of Representative ( 29.3 kB)


Preview TC-737, Power of Attorney and Declaration of Representative
Utah State Tax Commission

Power of Attorney and Declaration of Representative
Taxpayer name(s) and addresses

Clear form

Social Security/Account number

The taxpayer(s) named above hereby appoint the following representative(s) as attorney(s)-in-fact (attach additional sheets if necessary)
Name and address Telephone number Fax number Name and address Telephone number Fax number Name and address Telephone number Fax number

Tax matters to be represented for the taxpayer(s) before the Utah State Tax Commission
Type of tax Social Security/Account number Year or period Appeal number if known

Type of tax

Social Security/Account number

Year or period

Appeal number if known

Type of tax

Social Security/Account number

Year or period

Appeal number if known

Subject to revocation in writing, my representative is authorized to receive, inspect or review confidential tax information and to perform any and all acts on my behalf to facilitate audits, to negotiate or enter agreements, and to act as my representative in adjudicative proceedings before the Commission. The authority does not include the power to receive refund checks, the power to substitute another representative or the authority to disclose confidential tax information to other parties. Retention/revocation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier power(s) of attorney on file with the Utah State Tax Commission for the same matters and years or periods covered by this document.
Signature of taxpayer(s) Date

If signed by a corporate officer, partner, or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this power of attorney on behalf of the taxpayer.
Signature of tax representative(s) Title Date

TC-737 Rev. 2/05