Form Ftb 3518 - One-Time Release Of Confidential Tax Information Authorization Form
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One-Time Release of Confidential Tax Information
DISCLOSURE OFFICE MS A181
PO BOX 1468
Authorization Form
SACRAMENTO CA 95812-1468
FAX 916.845.4849
PHONE 916.845.3226
This form allows a one-time authorization for release of confidential tax information. To authorize an individual to
represent you, use FTB 3520, Power of Attorney. To request a copy of your personal income tax or fiduciary return, use
FTB 3516, Request for Copy of Personal Income Tax or Fiduciary Return.
Taxpayer Information
Taxpayer Name and Address (Print)
Social Security No. or Business Entity Identification No.
Daytime Telephone Number
(
)
–
Fax Number
(
)
–
The taxpayer listed above authorizes California Franchise Tax Board to release confidential tax
information to the individuals listed below.
Individual’s Name and Address (Print)
Company Name (Print)
Daytime Telephone Number
(
)
–
Fax Number
(
)
–
Specific Issues, Tax Years, or Income Periods
The individuals listed above are authorized to receive confidential tax information regarding the following:
Tax Periods (Required)
Specific Tax Matter or Document (Required) (Print)
I declare that I submit this request to the Franchise Tax Board to obtain copies of records containing my personal
information and to the best of my knowledge and belief, this request is not being made under false pretenses. (Civil
Code 1798.56)
________________________________________________________
Taxpayer Signature
________________________________________________________
Date
FTB 3518 C1 (REV 12-2008)
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