Indiana Department Of Revenue Power Of Attorney Page 2
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1
2Instructions for Form POA-1
Pursuant to 45 IAC 15-3-4, a properly executed Power of Attorney
must contain all of the following information.
1. The taxpayer’s name, DBA Name, address and telephone number.
2. a. The taxpayer identification number (TID) is an Indiana Department of Revenue generated number. Each entity has
its own TID number, separate from the Corporation FID number; each location has a unique TID number.
b. Employer Identification Number (EIN) is a number given by the Internal Revenue Service.
c. Individual taxpayers should use their social security numbers until they are issued a TID number by the Department.
3. The name, Federal Identification number (FID), Taxpayer Identification Number (TID), Practitioner Tax Identification
Number (PTIN) or Social Security Number (SSN), address, and telephone number of the taxpayer’s representative.
An individual(s) must be named as the representative; a firm or corporation cannot be named as the representative.
4. The type(s) of the tax involved and the respective tax years must be expressly stated.
5. The Power of Attorney must be signed by the taxpayer or an individual authorized to execute the Power of Attorney.
6. The Power of Attorney must be notarized if the representative is NOT a public accountant, a certified public accoun-
tant, or a licensed attorney.
Important Information
The original Power of Attorney is required; copies are not acceptable.
A separate Power of Attorney must be filed for each TID number, or an attachment must accompany a Power of Attorney
listing the locations to be represented.
An invalid Power of Attorney will invalidate any documents associated with this Power of Attorney.
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