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The Montana tax power of attorney is a legal document used by the grantor to authorize the attorney-in-fact to act on his/her behalf in his/her tax related matters.
Check this box if you do not want to revoke a prior authorization and are adding another representative. You must
attach a copy of any Authorization to Disclose Tax Information you want to remain in effect.
Check this box if you want to revoke all prior authorizations made on your behalf.
If you are a representative and want to revoke an existing POA, simply write REVOKE across the top of the form, sign
the form in section 6 and fi le the form as indicated in section 7.
5. Tax Matters and Tax Years Covered by this Form
Your representative is authorized to inspect, receive and discuss confi dential information for the tax types and tax
years you authorize by checking the appropriate boxes below. If tax matters and tax periods are not specifi ed, this
written authorization will not be in effect.
Please specify Tax Years Please specify Tax Years
Individual Income Tax _____________________ Withholding Tax _____________________