Power Of Attorney For Department Administered Sales And Use Tax Matters

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Sales Tax Division
POWER OF ATTORNEY
For Department Administered Sales and Use Tax Matters
SECTION 1. Taxpayer Information and Identification. Taxpayers must sign.
Taxpayer Name(s) and address (include any trade name or DBA)
Daytime phone number
Social Security Number for Individual
Second Social Security Number (if using jointly)
City Tax ID Number
SECTION 2. Representative: Taxpayer appoints the following representative as Attorney in Fact
Name and address
Phone Number
Fax Number
Attorney Reg Number or FEIN (if applicable)
SECTION 3. Tax matters approved for representation:
_____ City Sales Tax
_____ All Department Administered Sales Taxes
Period From __________ To __________
_____ City Use Tax
_____ All Department Administered Use Taxes
Period From __________ To __________
SECTION 4. Acts Authorized - Representative is authorized to receive and inspect confidential tax information and records and to
perform any and all acts that the taxpayer named above can perform with respect to the tax matters described in Section 3. The
authority does not included the power to receive refund checks or the acts specifically deleted in Section 5.
SECTION 5. Added or Deleted Acts - List any specific additions/deletions to the acts otherwise authorized in this power of attorney.
SECTION 6. Retention/Revocation of Prior Powers of Attorney - The filing of this power of attorney automatically revokes all earlier
powers of attorney on file with the City of Colorado Springs for the same tax matters and periods covered by this document. If you do
not want to revoke a prior powers of attorney, check here _____
ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT.
SECTION 7. Signature of Taxpayer
Signature
Date
Print Name
Title
Signature
Date
Print Name
Title
SECTION 8. Declaration of representative - I am authorized to represent the taxpayer(s) identified in Section 1 for the tax matter(s)
specified.
Signature
Title
Date
I represent the taxpayer(s) identified in #1 as:
CO attorney, Reg #
attorney registered in
CO licensed CPA
CPA licensed in
Full time employee of taxpayer
Enrolled Agent
Other, explain
Form ST390
Rev 7/07

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