Form 3840 - Limited Power Of Attorney Authorization For Disclosure Of Information For Tax Clearance Purposes Only

Download a blank fillable Form 3840 - Limited Power Of Attorney Authorization For Disclosure Of Information For Tax Clearance Purposes Only in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 3840 - Limited Power Of Attorney Authorization For Disclosure Of Information For Tax Clearance Purposes Only with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Reset Form
Michigan Department of Treasury
3840 (9-01)
Limited Power of Attorney
Authorization for Disclosure of Information for Tax Clearance Purposes Only
PART 1: GENERAL INFORMATION
Name and Address of Person Authorizing Disclosure
Doing Business as
FEIN
CID
Telephone Number
PART 2: AUTHORIZATION OF INDIVIDUAL(S).
Authorization is effective only for the individuals listed below.
Name
Address
Telephone Number
Fax Number
Name
Address
Telephone Number
Fax Number
Name
Address
Telephone Number
Fax Number
PART 3: AUTHORIZATION DATES.
Authorization is effective only for the inclusive dates.
From
To
PART 4: AUTHORIZATION
The undersigned authorizes the Michigan Department of Treasury, Tax Clearance Section, to release any and all tax information and outstanding
balances due for the purpose of tax clearance. I/We do not authorize any signature power.
Authorized Signature
Date

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 4300 - Limited Power Of Attorney Borrower's Authorization For Disclosure Of Information Form 4300 - Limited Power Of Attorney Borrower's Authorization For Disclosure Of Information Financial
Form 1940 - Limited Power Of Attorney Vehicle And Watercraft Transaction Form 1940 - Limited Power Of Attorney Vehicle And Watercraft Transaction Financial
Form Dfc041 - Limited Power Of Attorney Form - Department Of Employment-employer Services Form Dfc041 - Limited Power Of Attorney Form - Department Of Employment-employer Services Legal
Form Ps-19 - State Of Kansas Employment Tax Clearance Application Form Ps-19 - State Of Kansas Employment Tax Clearance Application Financial
Limited Power Of Attorney And Tax Information Authorization Form Limited Power Of Attorney And Tax Information Authorization Form Financial
Limited Power Of Attorney Only For Purchase Of A Hope For Kids With Diabetes License Plate Limited Power Of Attorney Only For Purchase Of A Hope For Kids With Diabetes License Plate Legal
Limited Power Of Attorney Only For Purchase Of A Fighting Cystic Fibrosis License Plate Limited Power Of Attorney Only For Purchase Of A Fighting Cystic Fibrosis License Plate Legal
Form E34l Sample - Power Of Attorney (limited Purpose) - 2009 Form E34l Sample - Power Of Attorney (limited Purpose) - 2009 Legal
Limited Power Of Attorney Trading Authorization Limited Power Of Attorney Trading Authorization Legal
Limited Power Of Attorney Authorization Form - Tennessee Treasury Department Limited Power Of Attorney Authorization Form - Tennessee Treasury Department Legal

Related Categories

Parent category: Financial
Download
Go