Ftb 743 Form – Fill Out and Use This PDF

STATE OF CALIFORNIA

FRANCHISE TAX BOARD

Online Account View Access Authorization

Do not mail this form to the Franchise Tax Board (FTB). Please keep it for your records.

Use this form to give your authorized representative permission to view all of your tax year information on FTB’s website associated with your social security number/business entity ID number.

Individual taxpayers complete Part 1. Business entity taxpayers complete Part 2.

Part 1: Individual Taxpayer Social Security Number (SSN) and Name

Taxpayer SSN

Taxpayer Name (first name, middle initial, last name)

–	–
Spouse/RDP1 SSN		Spouse/RDP1 Name (first name, middle initial, last name)
–	–

Part 2: Business Entity Taxpayer ID Number and Name

Business Entity ID Number	Legal Business Name

Part 3: Authorized Representative Name, Address, and Preparer Tax Identification Number (PTIN)

Authorized Representative Name (first name, middle initial, last name) or firm name (e.g., name used when preparing client’s returns).

Street Address

City	State	ZIP Code	PTIN if applicable
		–

Part 4: Signature (Spouse/RDP1 signature required if you entered spouse/RDP SSN in Part 1.)

I certify that I am the taxpayer(s) named in Part 1 or have the authority to execute the Online Account View Access Authorization on behalf of the taxpayer(s) named in Part1 or Part 2. I understand and authorize the representative named in Part 3 to have view only access to all the tax year information available on FTB’s website that is associated with the SSN/Business Entity ID listed in Part 1 or Part 2 above. This authorization remains in effect until I revoke it in writing.

Taxpayer Signature ______________________________________________ Date ____________________

Spouse/RDP1 Signature __________________________________________ Date ____________________

Business Entity Taxpayer Signature _________________________________ Date ____________________

Print Name and Title _______________________________________________________________________

Retention Information

Individual and Business Entity Taxpayer must keep the original of this form and give a copy to their authorized representative. Both parties must keep the form until it is revoked. Do not mail this form to FTB.

Get FTB 1131, Franchise Tax Board Privacy Notice, at ftb.ca.gov, or call us at 800.338.0505. If outside the United States, call 916.845.6500.

1RDP refers to a registered domestic partner.

FTB 743 (REV 02-2011)