Fillable Power Of Attorney (Page 4 of 5) in pdf

6. Authorization for Additions or Deletions

You can increase or decrease the authority you

grant to your representative. To do so, you must

specify the actions you do or do not authorize your

representative to take for you. Below are examples

of additional actions you can authorize:

• Receiving your refund check (but not endorsing it).

Note: to grant your representative this authority,

you must contact us to establish it. For assistance,

call us at (800) 852-5711.

• Substituting or delegating authority to a new

representative.

• Other acts not listed.

7. Notices and Communications

We will send your primary representative copies of

the notices that we send to you. If you wish to

prevent this, mark the box in section 7, page 2.

8. Retaining or Revoking a Prior Power of Attorney

When you file a Power of Attorney Declaration, it

revokes any prior Power of Attorney Declaration you

filed with us for the same tax years or income

periods. To prevent this revocation, mark the box in

section 8, page 2, and attach a copy of the previous

declaration(s) to the new one you submit to us.

To revoke a declaration, send us a newly signed and

dated copy of it with “REVOKE” written across the

top of page 1. If you do not have a copy of it, send

us a signed statement that instructs us to revoke it.

In your statement, include your name, address,

phone number, and social security number or

business entity identification number. Also include

your representative’s name and address.

A representative can also revoke his or her

representation by sending us a signed and dated

statement that includes the taxpayer’s name,

address, social security number or business entity

identification number, and the tax years or income

periods he or she is withdrawing from.

Mail your retention or revocation statement to the

address listed at the top of page 1 on this form.

Note: after we receive a power of attorney

revocation, we process it in approximately five

business days. To expedite a revocation request, fax

it to us at (916) 845-0523.

9. Signatures Authorizing a Power of Attorney

The taxpayer (or owner, officer, receiver,

administrator, or trustee for the taxpayer) must sign

the Power of Attorney Declaration. If this is a joint

declaration, both spouses/RDPs must sign and date

it. If you do not sign and date it, we will return it to

you without processing it.

FTB 3520

(REV 11-2007) Page 4

Power Of Attorney Page 4

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