Form A-222 - Power Of Attorney Page 2

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Instructions for Form A-222
quarter(s), month(s), etc. If the matter relates to estate or in-
A Power of Attorney (Form A-222), or similar written authori-
zation, executed by the taxpayer is required by the Wisconsin
heritance tax, enter the date of the taxpayer’s death instead
of the year or period.
Department of Revenue in order for the taxpayer’s repre-
sentative to perform certain acts on behalf of the taxpayer
Examples:
and to receive and inspect certain tax information. Use of
• Individual Income Tax 2010
Form A-222 is not mandatory. Photocopies and FAX copies
• Corporation Franchise/Income Tax 2008-2010 or FY
of Form A-222 are acceptable.
ending 2010
• Sales Tax – First and Second Quarter 2011
The Power of Attorney requirement applies to tax and related
• Withholding Tax – January 1, 2000 to 2010
credit matters of individuals, partnerships and corporations,
including (S) corporations.
• Other – Homestead Credit Claim – 2011
When the representative is accompanied by the taxpayer or,
Part 4 – Limited Power of Attorney
if the taxpayer is a corporation, by an officer or authorized
If you wish to have this Power of Attorney apply only to spe-
employee of the corporation, a Power of Attorney is not re-
cific issues, check the appropriate box and complete the line
quired for the taxpayer’s representative to inspect confidential
when checking “Other”.
information or to represent the taxpayer at conferences. Also,
a Power of Attorney is generally not required for a trustee,
Examples:
receiver, guardian, administrator or executor of an estate, or
• Private Letter Ruling
a representative appointed by a court.
• Revocation Hearing
• Claim For Refund
How to Complete Form A-222
Part 5 – Mailing of Notices and Written Communications
Part 1 – Taxpayer Information
A. Individuals: Enter your name, address, social security
Check the applicable box to have notices and other writ-
number, and telephone number in the space provided.
ten communications addressed and sent to the taxpayer or
the taxpayer’s attorney-in-fact. Put the name of the repre-
If a joint return is involved, and you and your spouse
are designating the same attorney(s)-in-fact, enter your
sentative who should receive the notices and other written
communications on the ** line in Part 2. If both boxes are
spouse’s name and social security number, and your
spouse’s address if different from yours. A federal identi-
checked, notices and written communication will be sent only
fication number is not required for individuals.
to the taxpayer. Notice will be sent to the taxpayer regardless
B. Corporation or partnership: Enter the name, business
of the box checked when statutes require notice to be sent
to the taxpayer. Notice to the attorney-in-fact is notice to the
address, federal identification number, and telephone
taxpayer and vice versa.
number.
C. Trust:
Enter the name, title, address, and telephone
Part 6 – Revoking a Power of Attorney
number of the fiduciary, and the name and federal identi-
fication number of the trust.
By filing a new Form A-222, all prior Powers of Attorney filed
with the Department of Revenue for the same matters and
D. Estate: Enter the name, title, address, and telephone
years or periods are revoked unless specifically stated other-
number of the decedent’s personal representative, and
wise on the line provided.
the name and identification number of the estate. The
identification number for an estate includes both the
Part 7 – Signature of Taxpayer(s)
federal identification number if the estate has one and
the decedent’s social security number.
The Power of Attorney form must be signed by the taxpayer;
a signature stamp is not acceptable.
E. Other entity: Enter the name, business address, federal
identification number, and telephone number.
A. Signature of Taxpayer:
Note: If you have been assigned a Wisconsin tax ac-
1. Individuals:
If a joint return is involved and both
count number by the Wisconsin Department of Revenue,
please enter the middle 10 digit numbers in the appropri-
husband and wife will be represented by the same
ate box.
individual(s), both spouses must sign the Power of
Attorney. If they are to be represented by different in-
Part 2 – Appointee
dividuals, each spouse may execute his or her own
Power of Attorney.
Enter the name, address, and telephone number and com-
2. Partnerships: All partners must sign unless one partner
plete address, including zip code of each individual appointed
is authorized to act in the name of the partnership.
as attorney-in-fact. Attach additional pages if needed.
3. Corporation, trust, estate, or any other entity:
A
Part 3 – Tax Matters and Years or Periods
corporate officer or person having authority to bind the
entity must sign.
In the columns provided, identify the type(s) of tax this Power
of Attorney authorization applies to by checking the appropri-
B. Date: The Power of Attorney should be dated when signed.
ate box(es). Enter time periods for each tax type for which
the Power of Attorney is granted. The word “All” for taxes
The beginning effective date for department action will be
the department’s receipt date. The Power of Attorney will
or periods or the words “Previous”, “Prior” or “Future” are
not specific enough. The Power of Attorney can be limited
remain in effect until the department is otherwise notified
in writing.
to specific reporting period(s) that can be stated in year(s),

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