Form A-777a - My Tax Account Authorization
Download a blank fillable Form A-777a - My Tax Account Authorization 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 A-777a - My Tax Account Authorization 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
1
2Save
Print
Clear
Tab to navigate within form.
MY TAX ACCOUNT
AUTHORIZATION
Taxpayer Name
Social Security Number
FEIN
Address
WTN
Address
Telephone Number
City
State
Zip Code
E-mail Address
Hereby authorizes the following individual(s)
Name
Telephone Number
Address
City
State
Zip Code
Name
Telephone Number
Address
City
State
Zip Code
Name
Telephone Number
Address
City
State
Zip Code
To access my business tax accounts on My Tax Account. I do not have access to the internet nor do I have an
email address and I would like the above listed individuals to file returns and have access to my tax account
information. My Tax Account is the Department of Revenue’s free, secure, online business tax service that allows
access to view current account status, file & amend returns, make payments, view certain correspondence, and
manage and update account information.
I understand that the execution of the Authorization does not relieve me of personal responsibility for correctly
and timely reporting and paying taxes, or from penalties for failure to do so, all as provided for under Wisconsin
tax law. I understand a photocopy and/or faxed copy of this form has the same authority as the signed
original.
Additionally, I understand that in providing the authorization to the named individuals above to file my return
and make payments on my behalf that I bear the personal responsibility to monitor my account and banking
relationships to ensure the accuracy of any bank account transactions, effectiveness and security of all
transactions that are executed on my behalf.
If any individual named above is no longer authorized to execute transactions on my behalf, it will be my
responsibility to ensure that the Department of Revenue has been notified to cease the access for that
individual.
If signed by a corporate officer, partner, or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute
this Power of Attorney on behalf of the taxpayer and that I have read and understand the conditions and terms of this
MTA Authorization agreement.
Signature
Title
Date
A-777A (R. 7-09)
Wisconsin Department of Revenue
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial