Form Tr-698 - Promptax-Petroleum Business Tax Change Of Enrollment Information - Nys Tax De Page 2

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Page 2 of 4 TR-698 (3/06)
III. Change of secondary contact information
If you wish to change any data regarding a secondary contact, do so in the space provided below.
Secondary contact person:
(please print)
Mailing address:
City:
State/Province:
Country:
ZIP code:
Telephone number: (
)
Fax number: (
)
Email address:
Designation or change of paid preparer as agent
IV.
If the taxpayer wishes to designate or change paid preparer to act as its agent for making the required petroleum business
tax payments, complete this section. You must also include a signed and notarized Form POA-1, Power of Attorney. You
may download forms from the Tax Department Web site at
Paid preparer name:
(please print)
Mailing address:
City:
State/Province:
Country:
ZIP code:
Telephone number: (
)
Fax number: (
)
Email address:

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