Form Dr-835 - Power Of Attorney
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1
2Florida Department of Revenue
DR-835
R. 01/97
Power of Attorney
(1)
Taxpayer Information
Taxpayer’s Name(s) and Address (Please type or print.)
Social Security Number(s)
FEIN
Florida Tax Registration
Number
Daytime Telephone Number
(
)
hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
(2)
Representative(s) (Please type or print.)
Name and Address
Telephone No.(
)
Fax No.(
)
Name and Address
Telephone No.(
)
Fax No.(
)
Name and Address
Telephone No.(
)
Fax No.(
)
to represent the taxpayer(s) before the Department of Revenue for the following tax matters:
(3)
Tax Matters
Type of Tax
Matter of Representation
Tax Periods
Said attorney(s)-in-fact (or either of them) shall, subject to revocation, have authority to receive or inspect confidential information and
full power to perform on behalf of the taxpayer(s) the following acts with respect to the above tax matters: (Strike through any which
are not granted.)
To execute waivers of restrictions on assessment or collection of deficiencies in tax;
To execute consents extending the statutory period for assessment or claims for refund of taxes;
To execute closing agreements under Section 213.21 of the Florida Statutes;
To receive, but not to endorse and collect, warrants in payment of any refund of taxes, penalties or interest;
To delegate authority or to substitute another representative; and
To perform other acts (be specific) ________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
(4)
Receipt of Refund Warrants: If you want to authorize a representative named in Section 2 to receive, but not to endorse or
cash, refund warrants, initial here ______ and list the name of that representative below.
Name of representative to receive refund warrants ________________________________________________________________
(5)
Notices and Communications: Notices and other written communications will be sent only to the first representative listed in Section 2.
a)
If you want such notices and communications to go to you and not your representative, check this box ...........................
b)
If you want such notices and communications to go to you and copies to go to your representative, check this box .........
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