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California Joint Power of Attorney Form


California Joint Power of Attorney Form
California Joint Power of Attorney Form
APPOINTEE NAME(S) APPOINTEE NAME(S)
APPOINTEE BUSINESS NAME
(if applicable)
APPOINTEE BUSINESS NAME
(if applicable)
APPOINTEE ADDRESS
(street & number)
APPOINTEE ADDRESS
(street & number)
(city) (state) (zip code) (city) (state) (zip code)
TELEPHONE NUMBER FAX NUMBER TELEPHONE NUMBER FAX NUMBER
() () ( ) ( )
INDIVIDUAL PARTNERSHIP CORPORATION LIMITED LIABILITY COMPANY
OTHER
TAXPAYER’S NAME BUSINESS OR CORPORATION NAME TELEPHONE NUMBER FAX NUMBER
() ()
SOCIAL SECURITY NUMBER FEDERAL EMPLOYER IDENTIFICATION NUMBER(S) CALIFORNIA SECRETARY OF STATE NUMBER(S)
BOARD OF EQUALIZATION ACCOUNT/PERMIT(S) EDD EMPLOYER ACCOUNT NUMBER
MAILING ADDRESS
(street & number, city, state, zip code)
STATE OF CALIFORNIA
POWER OF ATTORNEY BOARD OF EQUALIZATION
FRANCHISE TAX BOARD
EMPLOYMENT DEVELOPMENT DEPARTMENT
Check below to indicate the appropriate agency. Please note that a separate form must be completed and provided to each agency checked.
(See Form BOE-324-A, for SS Number disclosure information.)
As owner, officer, receiver, administrator, or trustee for the taxpayer, or as a party to the tax or fee matter before the
State Board of Equalization Franchise Tax Board Employment Development Department
I hereby appoint: [enter below the individual appointee(s) name(s), addresse(s) (including zip codes), telephone number(s) and
FAX number(s). Do not enter names of accounting or law firms, partnerships, corporations, etc., as the appointee name]
As attorney(s)-in-fact to represent the taxpayer(s) for the following tax or fee matters: [specify type(s) of tax]
SPECIFY THE TAX OR FEE YEAR(S) OR PERIOD(S) [IF ESTATE TAX, INDICATE DATE OF DEATH]
(for Board of Equalization and Franchise Tax Board purposes)
The attorney(s)-in-fact (or any of them) are authorized, subject to revocation, to receive confidential tax information and to
perform on behalf of the taxpayer(s) the following acts for the tax or fee matters described above: [Check the box(es) for
the powers granted.]
General Authorization (including all acts described below).
Specific Authorization (selected acts described below).
To confer and resolve any assessment, claim or collection of a deficiency or other tax or fee matter pending before the
identified agency and attend any meetings or hearings thereto for the specified law identified above.
To receive, but not to endorse and collect, checks in payment of any refund of taxes, penalties or interest.
To execute petitions, claims for refund and/or amendments thereto.
To execute consents extending the statutory period for assessment or determination of taxes.
To execute closing agreements under section 19441 of the California Revenue & Taxation Code.
To execute settlement agreements under section 19442 of the California Revenue & Taxation Code.
(The back of this form must be completed)
STATE BOARD OF EQUALIZATION
PO BOX 942879
SACRAMENTO CA 94279-0001
800-400-7115
FRANCHISE TAX BOARD
PO BOX 2828
RANCHO CORDOVA CA 95741-2828
FAX (916) 845-0523
EMPLOYMENT DEVELOPMENT DEPARTMENT
PO BOX 826880, MIC 28
SACRAMENTO CA 94280-0001
(916) 654-7263 FAX (916) 654-9211
Franchise and Income Tax Law Payroll Tax Law
Sales & Use Tax Law Benefit Reporting
Use Fuel Tax Law Other:
BOE-392 (FRONT) REV. 7 (6-02)
California Joint Power of Attorney Form
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