Form Boe-91-A - Tax Preparer Request To Electronically File Tax Returns

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BOE-91-A REV. 1 (12-08)
STATE OF CALIFORNIA
TAX PREPARER REQUEST
BOARD OF EQUALIZATION
TO ELECTRONICALLY FILE TAX RETURNS
ACCOUNT INFORMATION
Please print
BOE ACCOUNT NUMBER(S)
NAME OF TAXPAYER
Note: Attach additional pages as needed. Owners of record for each account will receive written notification of this
request to electronically file returns. You will receive email confirmation that your request has been granted.
TAX PREPARER INFORMATION
I certify under penalty of perjury that I file the tax returns for the Board of Equalization (BOE) accounts listed above
and request the ability to electronically file on their behalf.
All fields are required
NAME OF TAX PREPARER (please print)
DRIVER LICENSE NUMBER
ADDRESS (street, city, state, zip code)
TELEPHONE NUMBER
(
)
EMAIL ADDRESS
ARE YOU CURRENTLY REGISTERED TO eFILE WITH THE BOE?
Yes
No
TAX PREPARER SIGNATURE
DATE
Return this form to:
Board of Equalization
Taxpayer Information Section, MIC:90
P.O. Box 942879
Sacramento, California 94279-0090
CLEAR
PRINT

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