Power Of Attorney Form - State Of Arkansas Department Of Finance And Administration Page 2

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Instructions for
Department of Finance and Administration
Power of Attorney form
PURPOSE
The purpose of this form is to authorize an individual to represent you before the
Department of Finance and Administration.
AUTHORITY GRANTED
This power of attorney form authorizes the representative to perform any and all acts you
can perform, with the exception of receiving refund checks, the power to substitute another
representative, the power to sign returns, or the power to execute a request for disclosure of
tax returns or return information to a third party.
NOTICES TO TAXPAYER
The computer generated notices will continue to be sent to you, the taxpayer. Proposed
Assessment and Final Assessment notices are required to be mailed to the taxpayer by law,
Arkansas Code Ann §§ 26-18-307, 26-18-403, and 26-18-401. You may share these
notices with your attorney or other individual that you delegate as your representative.
REVOCATION or Withdrawal of Representative
To revoke a Power of Attorney form, mail or fax this form with the date of Revocation in
the box in the upper right hand column of the form to the same office it was originally sent.
If you do not have a copy of the form, mail or fax a letter stating that you want to revoke
the Power of Attorney. If the taxpayer is revoking the power of attorney, the letter must
list the names of the representatives and it must be signed and dated by the taxpayer. If the
representative is withdrawing, list the name, address and Employer Identification number
and Sales tax permit number and date of revocation.
WHERE TO FILE
Mail or fax the Power of Attorney form to the office handling the tax matter.
The federal Form 2848 may be used in lieu of this form. (Provided the proper Arkansas tax
type(s), tax form references, and tax period(s), or year(s) are identified on the federal form.)
(Revised 08/05)

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