Arizona Form 285 PDF Details

In an ever-evolving landscape of tax regulations, the Arizona Form 285B plays a pivotal role by allowing individuals and entities to navigate the confidentiality and accessibility of their tax information with precision and authority. This Disclosure Authorization Form is engineered to streamline the process by which taxpayers can designate appointees to access their confidential tax-related information without conferring any powers of representation, clearly delineating its function from that of a power of attorney. The form requires detailed inputs concerning the taxpayer's identity, inclusive of Social Security Numbers or Individual Taxpayer Identification Numbers, and extends to encompass spouse details if applicable, alongside a comprehensive address. The inclusion of specific appointee information, such as name and contact details, further individualizes this consent. Critical to this form is the sect that outlines the tax matters authorized for disclosure, ranging from income tax to transaction privilege and use tax, specifying the type of return and the ownership involved. It’s imperative to note that executing this form does not annul any previously granted authorizations, preserving the continuity of taxpayer representations. By signing the Arizona Form 285B, the taxpayer not only affirms the Department of Revenue's authority to release specified confidential information but also acknowledges the severe legal implications of submitting fraudulent information. Thus, this form stands as a testament to the taxpayer's trust in their appointee, bounded by the legal framework that governs tax information confidentiality within Arizona.

QuestionAnswer
Form NameArizona Form 285
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesarizona form 285 pdf, arizona department of revenue form 285, arizona dept of revenue disclosure authorization form, arizona form authorization

Form Preview Example

ARIZONA FORM

285B

DISCLOSURE AUTHORIZATION FORM

You must sign this form in section 5

This form authorizes the Department to release confidential information of the taxpayer(s) named below to the appointee(s) named below for the tax type(s) specified below. This form is NOT A POWER OF ATTORNEY and DOES NOT grant the appointee(s) any powers of representation.

1. TAXPAYER INFORMATION: Please print or type.

 

 

 

Enter only those that apply:

 

Taxpayer Name

 

 

 

 

 

Social Security Number or ITIN

 

 

 

 

 

 

 

 

Spouse’s Name (if applicable)

 

 

 

 

 

Spouse’s Social Security Number or ITIN

 

 

 

 

 

 

 

Current Address - number and street, rural route

 

 

Apartment/Suite No.

Employer Identification Number

 

 

 

 

 

 

 

 

City, Town or Post Office

State

ZIP Code

 

Daytime Phone (with area code)

AZ Transaction Privilege Tax License No.

 

 

 

 

 

 

 

 

2. APPOINTEE INFORMATION

 

 

 

 

2nd APPOINTEE INFORMATION (if applicable)

 

Name

 

 

 

 

Name

 

 

 

 

 

 

Current Address (if different from taxpayer’s address above)

Apt./Suite

Current Address (if different from taxpayer’s address above)

Apt./Suite

 

 

 

 

 

 

 

 

City, Town or Post Office

State

ZIP Code

 

 

City, Town or Post Office

State ZIP Code

 

 

 

 

 

 

 

 

 

Daytime Phone (with area code)

 

 

 

 

Daytime Phone (with area code)

 

 

 

 

 

 

 

 

 

Social Security, ITIN, or Other ID No.

Type

 

 

 

Social Security, ITIN, or Other ID No. Type

 

 

|

 

 

 

 

|

 

3.TAX MATTERS: The appointee is authorized to receive confidential information for the tax matters listed below.

 

TAX TYPE

YEAR(S) OR PERIOD(S)

TYPE OF RETURN/OWNERSHIP

 

Income Tax

 

 

 Corporation

 

 

 

Individual

 

 

 

 

 

 Partnership

 Fiduciary-Estate/Trust

 

Transaction Privilege

 

 Individual/Sole Proprietorship

 Partnership  Corporation

 Trust

 

and Use Tax

 

 Limited Liability Company

 Limited Liability Partnership

 Estate

Withholding Tax

 

 

 

 

 

 

 

 

 

 

Other (e.g., Luxury Tax):

 

Specify type of return(s)/ownership:

 

 

 

 

 

 

 

 

 

4.NO REVOCATION OF EARLIER AUTHORIZATION(S)

This Disclosure Authorization Form does not revoke any prior Power of Attorney or other authorization forms on file with the department.

5.SIGNATURE OF OR FOR TAXPAYER

I hereby certify that the Arizona Department of Revenue is authorized to release any and all confidential information concerning the Taxpayer(s). By signing this form, I certify that I have the authority, within the meaning of A.R.S. §42-2003(A), to execute this authorization form on behalf of the Taxpayer(s). I understand that to knowingly prepare or present a document which is fraudulent or false is a class 5 felony pursuant to A.R.S. §42-1127(B)(2).

By checking this box and signing below I certify under penalty of perjury that I am an officer of the above mentioned corporation(s) and that I am a principal officer, as defined in A.R.S. §42-2003(A)(2).

________________________________________________

_______________________________________________

SIGNATURE

DATE

SIGNATURE

DATE

________________________________________________

_______________________________________________

PRINT NAME

 

PRINT NAME

 

________________________________________________

_______________________________________________

TITLE

 

TITLE

 

ADOR 10955 (8/18)

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Step # 1 in filling in who arizona form 285b

2. The subsequent step would be to fill in all of the following blank fields: TAX TYPE, YEARS OR PERIODS, TYPE OF RETURNOWNERSHIP, Income Tax, Transaction Privilege, and Use Tax, Withholding Tax, Other eg Luxury Tax, Individual Partnership , Corporation FiduciaryEstateTrust, Trust Estate, Specify type of returnsownership, NO REVOCATION OF EARLIER, This Disclosure Authorization Form, and SIGNATURE OF OR FOR TAXPAYER.

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