Form Boe-91-B - Tax/fee Payer Authorization For Tax Preparer To Perform Electronic Services

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BOE-91-B REV. 4 (7-13)
STATE OF CALIFORNIA
TAX/FEE PAYER AUTHORIZATION FOR
BOARD OF EQUALIZATION
TAX PREPARER TO PERFORM ELECTRONIC SERVICES
ACCOUNT INFORMATION
BOARD OF EQUALIZATION ACCOUNT NUMBER
BUSINESS EMAIL ADDRESS
BUSINESS NAME
I hereby authorize the tax preparer listed below to perform the following function(s) with the Board of Equalization
(BOE) on my behalf:
Electronically file returns and/or prepayments
Electronic Payment
Account Maintenance (update business email address and view history of online transactions)
Electronically submit a request for:
• Relief from Penalty, Interest, or Collection Cost Recovery Fee
• Extension of Time to File a Tax Return
• Declaration of Timely Mailing
• Relief from Penalty and Interest Due to Disaster
NAME OF TAX/FEE PAYER (please print)
SIGNATURE OF TAX/FEE PAYER
DATE
TITLE (please print)
TELEPHONE NUMBER
(
)
TAX PREPARER INFORMATION
NAME OF TAX PREPARER (please print)
EMAIL ADDRESS
ADDRESS (street, city, state, zip code)
TELEPHONE NUMBER
(
)
A confirmation email will be sent to you and your tax preparer.
If you have any questions or need assistance with completing this form, call our Customer Service Center
at 1-800-400-7115 (TTY:711). Customer service representatives are available weekdays from 8:00 a.m. to 5:00 p.m.
(Pacific time), except state holidays.
Return this form to:
State Board of Equalization
Customer Service Center, MIC:90
PO Box 942879
Sacramento, California 94279-0090
CLEAR
PRINT

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