Form Ftb 3520 - Power Of Attorney - 1998
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1
2STATE OF CALIFORNIA
FRANCHISE TAX BOARD
PO BOX 942840
POWER OF ATTORNEY
SACRAMENTO CA 94240-0040
TAXPAYER’S NAME
TELEPHONE NUMBER
SOCIAL SECURITY OR FEDERAL EMPLOYER IDENTIFICATION NUMBER(S)
CALIFORNIA SECRETARY OF STATE NUMBER(S)
MAILING ADDRESS
(Street & Number)
(City)
(State)
(Zip Code)
USE FTB FORM 3520A, MULTIPLE BANK AND CORPORATION POWER OF ATTORNEY, IF A POWER OF
ATTORNEY RELATES TO COMBINED REPORTING INVOLVING MORE THAN ONE TAXPAYER.
INDIVIDUAL
PARTNERSHIP
CORPORATION
OTHER
LIMITED LIABILITY COMPANY
As a party to the tax matter before the Franchise Tax Board or as owner, officer, receiver, administrator, or trustee for
the taxpayer, I hereby appoint: [Enter below, name, address (including ZIP code), telephone number, and FAX number
of individual appointee(s). Do not enter names of accounting or law firms, partnerships, corporations, etc.]
APPOINTEE NAME(S)
APPOINTEE ADDRESS (Street & Number)
(City)
(State)
(Zip Code)
TELEPHONE NUMBER
FAX NUMBER
as attorney(s)-in-fact to represent the taxpayer(s) for any tax matter arising under the Personal Income Tax Law, Bank
and Corporation Tax Law, and/or the Administration of the Franchise and Income Tax Laws.
Specify the tax year(s) or period(s). If Estate Tax, indicate date of death:
The attorney(s)-in-fact (or any of them) are authorized, subject to revocation, to receive confidential tax information and
to perform on behalf of the taxpayer(s) the following acts for the tax matters described above: [ Check the box(es) for
the powers granted. ]
General Authorization (All Acts Described Below).
Specific Authorization (Selected Acts Described Below).
To represent the taxpayer for any and all matters relating to the income year or period indicated above,
except
.
To receive, but not to endorse and collect, checks in payment of any refund of taxes, penalties or interest.
To execute petitions, claims for refund and/or amendments thereto.
To execute consents extending the statutory period for assessment or determination of taxes.
To execute closing agreements under Section 19441 of the California Revenue & Taxation Code
To delegate authority or to substitute another representative.
To execute settlement agreements under Section 19442 of the California Revenue and Taxation Code.
Other acts (be specific):
[The reverse side of this form must be completed]
FTB 3520 (REV 4-1998) SIDE 1
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