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Montana Tax Power of Attorney Form

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The Montana tax power of attorney is a legal document used by the grantor to authorize the attorney-in-fact to act on his/her behalf in his/her tax related matters.

Montana Tax Power of Attorney Form
Montana Tax Power of Attorney Form
MONTANA
POA
Rev 02 11
Power of Attorney (POA)
Authorization to Disclose Tax Information
Notice: Federal Form 2848 is acceptable if Section 3, Tax matters, identi es “Montana” and the type of tax, tax form
number, and year(s) or period(s) that the representative is authorized to discuss with the Department of Revenue (DOR).
If completing this federal form, a copy is required to be provided to the DOR.
1. Taxpayer Information
Name of Taxpayer(s) SSN
Address FEIN
City State Zip Code
Telephone Number Fax Number E-mail Address
2. Authorization of Representative
Name of Representative Name of Firm (if applicable)
Address
City State Zip Code
Telephone Number Fax Number E-mail Address
3. Purpose of this Form
This form is used by taxpayers to either change a Power of Attorney status or provide written authorization to a
representative.
Check this box if you are changing a current Power of Attorney status.
If you are providing authorization to another individual, check the box that best describes what authorization you are
providing to your representative.
Representation. Department employees can provide con dential tax information to the representative and discuss
the information. (This is the most frequent response.)
Information sharing. Department employees can provide con dential tax information to the representative, but
cannot discuss the information.
Decision making authority. Department employees can provide con dential information to a representative,
can discuss the information and the representative can act on the taxpayer’s behalf for all purposes, including
settlement and waiver of appeal rights.
4. Retention/Revocation of Prior Power(s) of Attorney
Check this box if you are substituting one representative for another representative on le with the Montana
Department of Revenue for the same tax matters and year(s)/period(s) covered by this document. Checking this
box will revoke the authorization for the original representative.
0601
*06010101*
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Montana Tax Power of Attorney Form
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