Form Poa-1 - Power Of Attorney - Indiana Department Of Revenue Page 3
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3Instructions for Indiana Form POA-l
Casual conversations with a taxpayer’s representative who does not have a Power of Attorney on file are permitted.
However, the Indiana Department of Revenue will not disclose tax return information or taxpayer-specific information to
the representative unless a properly executed Power of Attorney has been filed with the department. In lieu of a Power
of Attorney, you can authorize the department to discuss your tax return information with someone else by filling out the
Personal Representative Portion on your individual tax return.
Pursuant to 45 IAC 15-3-4, a properly executed Power of Attorney must contain the following information:
1. The taxpayer’s name, DBA name (if applicable), address (Please check the box if this is a new address), and tele-
phone number.
2. The Indiana taxpayer’s identification (10-digit TID) number. The department assigns TID numbers, and each entity
has its own TID number. The Internal Revenue Service provides the employer identification number (EIN). Individual
taxpayers should use their Social Security numbers unless they have been issued a TID number.
3. The name, address, and telephone number of your individual representative(s).Only individuals can be named as
representatives. If you want to add one individual representative, enter one in the spaces provided. If you want to add
more representatives, enter them in the spaces provided.
4. If your representative works for a consulting firm or vendor, enter the company’s name, address, telephone number,
and email address. Enter the individual name of your representative(s). Only individuals can be named as represen-
tatives. If you want to add more than four individual representatives for a firm or vendor, enter them in the spaces
provided.
5. Check this box if you want to authorize your representative to represent you regarding all tax matters, regardless of
the tax year or income period involved.
6. The Power of Attorney form can contain the specific type of tax, or the option ALL. By choosing the option ALL, you
will be allowed access to ALL tax types appropriate to the taxpayer. The tax years must be specific.
7. The taxpayer’s signature or the signature of an individual authorized to execute the Power of Attorney on the taxpay-
er’s behalf.
NOTE: Include as an enclosure any restrictions or limitations the taxpayer has placed on the representative while acting
as the taxpayer’s representative.
After the taxpayer executes a Power of Attorney, the department will communicate primarily with the taxpayer’s represen-
tative.
The department accepts faxed or electronic copies of original Power of Attorney forms. If a copy is provided, the
person forwarding the copy certifies, under penalties for perjury, that the copy is a true, accurate, and complete copy of
the original document.
The department will not accept a Power of Attorney form that has been altered unless it has the initials of the taxpayer (or
an individual authorized to execute the Power of Attorney on the taxpayer’s behalf) beside the alteration(s).
This Power of Attorney is effective for 5 years from the date the form is signed. After the expiration of 5 years, a new Pow-
er of Attorney form must be completed if the taxpayer wishes to permit the department to communicate with the taxpayer’s
representative.
This Power of Attorney can be revoked prior to expiration only by written and signed notice. A subsequent Power of Attor-
ney alone will NOT revoke a prior Power of Attorney.
Required fields – if not complete, this form will be returned to sender.
Submit the form using these methods:
•
Fax:
(317) 615-2605
•
Email:
poa1forms@dor.in.gov
•
Mail:
Indiana Department of Revenue
PO Box 7230
Indianapolis, IN 46207-7230
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