Home > Legal > Legal > Power of Attorney Template > Wyoming Power of Attorney Form > Wyoming Tax Power of Attorney Template

Wyoming Tax Power of Attorney Form


Wyoming Tax Power of Attorney Form
Wyoming Tax Power of Attorney Form
!
DAVE FREUDENTHAL"!Governor!
E
DMUND J. SCHMIDT"!Director
!
State of Wyoming
DEPARTMENT OF REVENUE
!
#$$!%&'(!$)(*!+(,&&("!$-%&'("!.*&/&00&"!%/12304!5$66$-6##6!
7&8&9*10&:!;<6=>!===-=@#!ż!%&A:*((9:BB,&C&0D&E'(F(&EG/ED'!ż!H-2F38:I1,JG/E41C!
KI2303'(,F(310!LFM!;<6=>===-==$$!ż!KI!NF81,&2!O3C3'310!LFM!;<6=>===-==$$!ż!HMP3'&!O3C3'310!LFM!;<6=>===-<@<$!ż!Q30&,F8!O3C3'310!LFM!;<6=>===-=5R!ż!S3TD1,!O3C3'310!LFM!;<6=>===-@$))!
!
HUU&P(3C&!6B$<B6R!
H7+!L1,2!#)6!
!
HMP3'&!7FM!O3C3'310!!
S323(&I!V1G&,!1U!K((1,0&/
!
!
+F8&'BW'&!7FM!S3P&0'&!XD2A&,:!! ! ! ! ! ! ! ! ! !
Y&C&0D&!ZI&0(3U3PF(310!XD2A&,:!! ! ! ! ! ! ! ! ! !
[D'30&''\B]G0&,\'B7FM9F/&,\'!XF2&:!! ! ! ! ! ! ! ! !
QF38304!KII,&'':!! ! ! ! ! ! ! ! ! ! ! !
! ! !!!!!! ! ! ! ! ! ! ! ! ! ! !
!
7]!%^]Q!Z7!QK_!.]X.HYX:!!ZB%&!*FC&!F99130(&I!! ! ! ! ! ! !
F'! 1D,! F4&0(! (1! ,&9,&'&0(! (*&! FA1C&! 2&0(310&I! (FM9F/&,! A&U1,&! (*&! %/12304! HMP3'&! 7FM!
O&9F,(2&0(!U1,!(*&!U1881G304!&MP3'&!(FM!2F((&,'!D0(38!UD,(*&,!01(3P&:!
!
7FM!7/9&!;+F8&'"!W'&"!H'(F(&"!
.34F,&((&"!&(PE>!
O1PD2&0(!Y&TD&'(&I!;7FM!,&(D,0'!-!'9&P3U/!
U1,2!`"!G,3((&0!I&(&,230F(310'"!01(3P&'"!&(PE>!!
_&F,;'>!1,!
V&,31I;'>!
!! !
!! !
!! !
!! !
!
Z!I&P8F,&!D0I&,!9&0F8(/!1U!9&,aD,/!(*F(!Z!*FC&!(*&!FD(*1,3(/!(1!'340!(*3'!8323(&I!91G&,!1U!F((1,0&/!
U1,!(*&!FA1C&!2&0(310&I!(FM9F/&,:!!
!
KD(*1,3b&I!A/:!! ! ! ! !!!!!!!!!!!!!!!!!!73(8&:!!! ! ! ! !
!!;Z0I3C3IDF8![D'30&''!c!]G0&,d!.1,91,F(310!c!QFa1,!]UU3P&,d!
VF,(0&,'*39!c!VF,(0&,d!SS.!1,!SSV!c!Q&2A&,!1,!QF0F4&,>!
!
V*10&!XD2A&,:!! ! ! ! !!!!!!!!!!!!!!!!!!OF(&:!!! ! ! ! !
!
The foregoing document was acknowledged before me by
this day of , 20 .
Witness my hand and official seal,
(Notary Public). My commission expires .
Y&(D,0!'340&I!1,3430F8!(1:! %/12304!O&9F,(2&0(!1U!Y&C&0D&!!! ! L1,!TD&'(310'"!98&F'&!PF88:!
!!!HMP3'&!7FM!O3C3'310"!^&,'P*8&,![8I4E!!!!!
!!!#$$!%E!$)
(*
!+(E"!$
0I
!L811,!%&'(!
!!!.*&/&00&"!%_!5$66$-6##6!
307-777-5200
Wyoming Tax Power of Attorney Form
Previous

1/2

Next