Form Ftb 3520 C1 - Ranchise Tax Board Power Of Attorney Declaration Page 6
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6A representative can also revoke their representation by sending us a
signed and dated statement that includes the taxpayer’s name, address,
SSN or business entity identification number, and the tax years or
income periods they are withdrawing from.
Mail or fax your POA retention or revocation to:
Number of days to process
Fax
916.843.5440
Expedite
Mail
POA UNIT MS F283
5 days
FRANCHISE TAX BOARD
PO BOX 2828
RANCHO CORDOVA CA 95741-2828
Part 8 – Nontax Issues
Check all the boxes that apply. If you are completing this POA for nontax
issues only, you do not have to complete the rest of this form. Go to
Part 10, Signature Authorizing a POA, sign, and date the POA.
Part 9 – Authorization to Receive Confidential
Information Only
When you check this box, you authorize your representative to receive
confidential information only for the specific years listed in Part 9. Your
representative cannot represent you before the FTB to resolve your
issues. You cannot select this option if you checked the box in Part 4.
9A - Enter the calendar year tax returns you want covered under Part 9.
A calendar year begins on January 1 and ends on December 31.
9B - Enter the fiscal and short-period tax returns you want covered
under Part 9. A fiscal year begins on any other day than January 1. A
short-period tax return is for an income year less than 12 months. You
must enter the beginning and ending dates for this POA to be valid.
Part 10 - Signatures Authorizing a POA
Individuals
In matters involving an individual taxpayer, FTB 3520, Power of Attorney
Declaration, must be signed by that individual.
Corporations or Associations
An officer who has the authority to bind the taxpayer must sign
FTB 3520, Power of Attorney Declaration, as the taxpayer and enter their
title on the Title line for the POA to be valid.
Examples of officers that have the authority to sign the POA are:
• President
• Vice President
• Chief Financial Officer (CFO)
• Chief Executive Officer (CEO)
• Chief Operating Officer (COO)
General and Limited Partnerships
The general partner must sign POA and enter their title on the Title line
for the POA to be valid.
Limited Liability Company (LLC) and Limited Liability
Partnership (LLP)
An authorized member or manager must sign and enter their title on the
Title line for the POA to be valid.
All Others
See IRS Reg. 601.503(d). Attach a completed copy of federal Form 56,
Notice Concerning Fiduciary Relationship, to your POA.
Franchise Tax Board Privacy Notice
Get FTB 1131, Franchise Tax Board Privacy Notice, at ftb.ca.gov or call us
at 800.338.0505. If outside the United States, call 916.845.6500.
FTB 3520 (REV 12-2012) PAGE 3
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