Power Of Attorney
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1Form BT-129
Oklahoma Tax Commission
Revised 5-2006
m.c. connors building
2501 lincoln boulevard
Oklahoma City, Oklahoma 73194
Power of Attorney
(Please Type or Print)
Taxpayer(s) Name(s)
Social Security/Federal Employer Identification Number(s)
Permit Number(s)
Address
City
State
Zip Code
Hereby appoints:
Name
Telephone Number
Address
City
State
Zip Code
Name
Telephone Number
Address
City
State
Zip Code
Note: If you appoint an organization, firm or partnership, you must also name an individual within the organization to act on your behalf.
As attorney(s)-in-fact to represent taxpayer before the Oklahoma Tax Commission and/or acquire any tax form(s) and/or
documents that taxpayer would be entitled to receive.
Type of Tax
State Tax Number or
Year(s) or Period(s)
(Income, Sales, Etc,)
Description of Tax Document
(Date of death if Estate Tax)
The attorney(s)-in-fact (or either of them) are authorized, until written revocation is received, to represent the taxpayer
before the Oklahoma Tax Commission and receive confidential information and to acquire any and all tax form(s) and/or
documents that the principal(s) can receive with respect to the above specified matter(s) unless exceptions are noted
below:
Signature of or for taxpayer(s)
Date
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
Signature
Title (if applicable)
Date
Type or print your name below if signing for a taxpayer who is not an individual.
Name
Title (if applicable)
Date
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