Power Of Attorney And Declaration Of Representative Page 3

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DR-835
R. 10/11
Page 3
POWER OF ATTORNEY INSTRUCTIONS
Purpose of this form
Section 2 – Representative(s)
A Power of Attorney (Form DR-835) signed by the taxpayer and the
Enter the individual name, firm name (if applicable), address,
representative is required by the Florida Department of Revenue
telephone number(s), and fax number of each individual appointed as
in order for the taxpayer’s representative to perform certain acts
attorney-in-fact and representative. If the representatives have the
on behalf of the taxpayer and to receive and inspect confidential
same address, simply write “same” in the appropriate box. If you wish
tax information. You and your representative must complete, sign,
to appoint more than three representatives, you should attach a letter
and return Form DR-835 if you want to grant Power of Attorney
to Form DR-835 listing those additional individuals.
to an attorney, certified public accountant, enrolled agent, former
Section 3 – Tax Matters
Department employee, unemployment tax agent, or any other qualified
Enter the type(s) of tax this Power of Attorney authorization applies to
individual. A Power of Attorney is a legal document authorizing
and the years or periods for which the Power of Attorney is granted.
someone other than yourself to act as your representative.
The word “All” is not specific enough. If your tax situation does not fit
You may use this form for any matters affecting any tax administered
into a tax type or period (for example, a specific administrative appeal,
by the Department of Revenue. This includes both the audit and
audit, or collection matter), describe it in the blank space provided
collection processes. A Power of Attorney will remain in effect until
for “Tax Matters.” The Power of Attorney can be limited to specific
you revoke it. If you provide more than one Power of Attorney with
reporting period(s) that can be stated in year(s), quarter(s), month(s),
respect to a tax and tax period, the Department employee handling
etc., or can be granted for an indefinite period. You must indicate
your case will address notices and correspondence relative to that
the tax types, periods, and/or matters for which you are authorizing
issue to the first person listed on the latest Power of Attorney.
representation by your attorney-in-fact.
A Power of Attorney Form is generally not required, if the
Examples:
representative is, or is accompanied by: a trustee, a receiver, an
Sales and Use Tax
First and second quarter 2008
administrator, an executor of an estate, a corporate officer, or an
Corporate Income Tax
7/1/07 – 6/30/08
authorized employee of the taxpayer.
Communications Services Tax
2006 thru 2008
Photocopies and fax copies of Form DR-835 are usually acceptable.
Insurance Premium Tax
1/1/06 – 12/31/08
E-mail transmissions or other types of Powers of Attorney are not
Technical Assistance Advisement Request
dated 8/6/08
acceptable. Copies of Form DR-835 are readily available by visiting
Claim for Refund
3/7/07
our Internet site ( ).
Section 4 – To Appoint an Unemployment Tax Agent
How to Complete Form DR-835, Power of Attorney
Complete this section only if you wish to appoint an agent for
unemployment taxes on a continuing basis. You should not complete
PART I POWER OF ATTORNEY
Section 3 or Section 6, but you must complete the remaining sections
Section 1 – Taxpayer Information
of Form DR-835.
• For individuals and sole proprietorships: Enter your name,
address, social security number, and telephone number(s) in the
Enter the agent’s name. It must be the same name as found in
spaces provided. Enter your federal employer identification number
Section 2. Enter the firm name and address. You do not need to
(FEIN), if you have one. If a joint return is involved, and you and
complete the address line if you reported that information in Section 2.
your spouse are designating the same attorney(s)-in-fact, also enter
1.
Enter the agent number. The agent number is a seven-digit
your spouse’s name and social security number, and your spouse’s
number assigned by the Department of Revenue.
address if different from yours.
2.
Enter the federal employer identification number. The FEIN is a
• For a corporation, limited liability company, or partnership:
nine-digit number assigned to the agent by the Internal Revenue
Enter the name, business address, FEIN, a contact person familiar
Service.
with this matter, and telephone number(s).
3.
Select the mail type.
• For a trust: Enter the name, title, address, and telephone
Primary Mail. If you select primary mail, the agent will receive
number(s) of the fiduciary, and name and FEIN of the trust.
all documents from the Department of Revenue related to this
• For an estate: Enter the name, title, address, and telephone
unemployment tax account, and will be authorized to receive
number(s) of the decedent’s personal representative, and the name
confidential information and discuss matters related to the tax and
and identification number of the estate. The identification number
wage report, benefit information, claims, and the employer’s rate.
for an estate includes both the FEIN if the estate has one and the
Reporting Mail. If you select reporting mail, the agent will receive
decedent’s social security number.
the Employer’s Quarterly Report (Form UCT-6), certification, and
• For any other entity: Enter the name, business address, FEIN,
correspondence related to reporting. The agent will be authorized to
and telephone number(s), as well as the name of a contact person
receive confidential information and discuss the tax and wage report,
familiar with this matter.
certification, and correspondence with the Department.
• Identification Number: The Department may have assigned you
Rate Mail. If you select rate mail, the agent will receive tax rate
a Florida tax registration number such as a sales tax number, an
notices and correspondence related to the rate and will be authorized
unemployment tax account number, or a business partner number.
to receive confidential information and discuss the employer’s rate
These numbers further assist the Department in identifying your
notices and rate with the Department.
particular tax matter, and you should enter them in the appropriate
Claims Mail. If you select claims mail, the agent will receive the
box. If you do not provide this information, the Department may not
notice of benefits paid, and will be authorized to receive confidential
be able to process the Power of Attorney.
information and discuss matters related to benefits.
Note: Duplicate copies of certain computer-generated notices and
other written communications cannot be issued due to current system
constraints and therefore, these communications will be sent only to
the representative.

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