Form Tr 2000 – Fill Out and Use This PDF

Taxpayer’s SSN or EIN

Taxpayer’s name (first name, middle initial, last name, or legal name of business)

If the taxpayer wishes to limit the period of time for which this authorization is effective, enter the expiration date here. This date will be applied to all services selected above. If no date is entered, this authorization for the services selected above will remain in effect until revoked.

Expiration date (mm-dd-yyyy)

I certify that I am the individual named in Part 1 above, or, if the taxpayer

named in Part 1 is other than an individual, I certify that I am acting on the taxpayer’s behalf in the capacity of a corporate officer, partner (except

a limited partner), member or manager of a limited liability company, or fiduciary, and that I have the authority to execute this Tax Information Access and Transaction Authorization Form on behalf of the taxpayer.

I understand and agree that by signing and providing this form to

the tax professional, I am authorizing the tax professional to access the taxpayer’s account information online and to receive confidential

information from the Tax Department for the tax matters authorized on this document.

In addition, if I have authorized the tax professional to file returns or other documents and/or make payments on the taxpayer’s behalf online, I

understand and agree that the tax professional’s submission of authorized transactions, together with this signed authorization, will serve as the

taxpayer’s signature for such transactions. I further understand and agree

that I must examine the information reported in those transactions and

verify that the information submitted is true, correct, and complete. The

tax professional has my consent to complete these transactions on the taxpayer’s behalf. If the transaction includes authorization for electronic funds withdrawal, I certify that the New York State Tax Department, through its designated financial agents, is authorized to initiate such electronic funds withdrawal(s) from the financial institution account indicated in the transaction, and that the financial institution is authorized to debit the entry to the account. I understand and agree that payment

transactions will be processed upon transaction submission and payment authorization cannot be revoked, unless otherwise stated at the point of submission of the payment transaction.

I further understand and agree that I can revoke the tax professional’s

access and authority to receive information and execute taxpayer

transactions at any time.

Signature

Print name

Date

Retention information

The tax professional must retain a copy of this authorization form for the duration of the authorization plus three years, and make a copy available to the Tax Department upon request. Do not mail this form to the Tax

Department.

No revocation of prior tax information authorization(s)

Executing and providing this authorization to the tax professional does not automatically revoke any prior authorizations that have been completed. If the taxpayer wants to revoke a prior authorization, access our website at www.tax.ny.gov or call us at (518) 485-7884.

The execution of Form TR-2000 does not revoke any power of attorney that is currently in effect for the same tax matters listed in Part 3 above. This form is not a power of attorney (POA).