Authorization To Represent - Oregon Tax Court - Magistrate Division
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1IN THE OREGON TAX COURT
MAGISTRATE DIVISION
,
)
)
)
Name(s)
)
Plaintiff(s),
)
versus
)
)
COUNTY ASSESSOR,
)
AND/OR
)
)
_______ DEPARTMENT OF REVENUE,
)
Case No.
(for court use only)
State of Oregon,
)
Defendant(s).
)
AUTHORIZATION TO REPRESENT
Individual persons who represent themselves, including those who act as trustees of a trust or personal representatives of an
estate, may appear before the Magistrate Division of the Oregon Tax Court without completing this form. A taxpayer who
designates a representative must complete this form unless the chosen representative is qualified to practice law in Oregon. A
taxpayer that is an entity, such as a business or a nonprofit organization, must designate a representative. See TCR-MD 1 E.
Please check the designation below that applies to your authorized representative(s):
Primary
Secondary
____
____
A person qualified to practice public accountancy in Oregon (includes CPAs and other licensed accountants)
____
____
A person qualified to practice law or public accountancy in a state other than Oregon
____
____
An Oregon licensed tax consultant
____
____
An Oregon licensed real estate broker or state certified, licensed, or registered appraiser
____
____
A partner designated as the tax matters partner (partnerships only)
____
____
A shareholder designated as the tax matters shareholder (S corporations only)
____
____
An employee of the taxpayer regularly employed by the taxpayer in tax matters
____
____
A designated representative of a nonprofit organization or an organization exempt from taxation
____
____
A spouse, child who has arrived at the age of majority, or parent of the named party
____
____
Other:
Permission to appear as a representative in the Magistrate Division does not remove the responsibility of persons subject to
regulatory agencies to comply with the rules of those regulatory agencies.
NOTE: Taxpayers are bound by the things their representatives do and fail to do. A taxpayer represented by someone
other than an attorney is bound by all things done by the authorized representative, and may not thereafter claim any
proceeding was legally defective because the taxpayer was not represented by an attorney. ORS 305.230(3).
Primary Representative: _______________________________________________ is authorized to represent the above-named
plaintiff(s) as primary representative in this appeal. (Court communications will be directed to the primary representative.)
Secondary Representative:
is authorized to represent the above-named
plaintiff(s) as secondary representative in this appeal. (Court communications will be directed to the primary representative.)
Signature of Plaintiff(s):
Date
Sign
Print
Title
Date
Sign
Print
Title
Signature of Representative(s):
Primary
Date
Secondary
Date
Primary Representative’s Information:
Secondary Representative’s Information:
Printed Name
Printed Name
Mailing Address
Mailing Address
City, State, ZIP
City, State, ZIP
Phone
Fax
Phone
Fax
Email*____________________________
Email*____________________________
*Notices of Proceedings will be sent by email. Please adjust your email filters to allow emails from:
hearing_scheduled@ojd.state.or.us; Court_Notification@ojd.state.or.us; Hearing_Rescheduled@ojd.state.or.us;
Hearing_CANCELED@ojd.state.or.us; Judgment@ojd.state.or.us; and efilingmail@tylerhost.net.
1163 State Street, Salem, OR 97301-2563
(503) 986-5650 Fax: (503) 986-4507
Rev. 1/18
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