Fillable Appointment Of Taxpayer Representative printable pdf download

Appointment Of Taxpayer Representative

Download a blank fillable Appointment Of Taxpayer Representative 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 Appointment Of Taxpayer Representative 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.

State of New Jersey Division of Taxation

Form M-5008-R (2-12)

Page 1 of 2

APPOINTMENT OF TAXPAYER REPRESENTATIVE

(TYPE OR PRINT)

1. Taxpayer Information (if matter involves a joint income return, enter both names

if joint representation is requested).

Trusts: Enter the name and EIN of the trust, name and address of the trustee.

Estates: Enter the name and EIN of the estate, name and address of the executor or administrator.

Taxpayer’s Name

Social Security number

Spouse’s/CU Partner’s Name

Social Security number

Mailing Address

NJ Taxpayer ID number (if other than SS#)

City

Name and Address of Trustee or Executor

State

Zip

Taxpayer is:

□ Individual (for an income or individual use tax return filed by that individual, or a joint income tax return

filed by the individual and his/her spouse/cu partner).

□ Corporation

□ Partnership

□ Sole Proprietorship

□ Estate

□ Limited Liability Company

□ Trust (other than a business trust)

□ Other: ___________

2. Representative Information (representative(s) must date and sign on page 2).

The taxpayer(s) named above hereby appoints the person(s) named below as his/her/their taxpayer

representative.

Name and Address

Telephone Number:

Fax Number:

Representative ID:

Name and Address

Telephone Number:

Fax Number:

Representative ID:

To represent the taxpayer(s) before the State for the following tax matter(s):

3. Tax Matters

□

All tax matters

□

Specific tax matters listed below

Type of Tax (NJ Gross Income, Sales and Use, Corporate Business,

Year(s) & Period(s)

Employment, etc.)

4. Acts Authorized.

The representative(s) is/are authorized to receive and inspect confidential tax

records and is/are granted full power to act with respect to the tax matters described in section 3 above, and to

do and perform all such acts as I could do or perform. The authority does not include the power to endorse a

refund check.

_________________________________

__________________

__________________________

Taxpayer Signature

Date

Title (if applicable)