IRS Power of Attorney Form Template
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IRS Power of Attorney Form

Please fill out this form completely to authorize someone to represent you before the IRS regarding your tax matters.

Taxpayer Information

Name

    Address

      Phone number

        Taxpayer Identification Number (TIN)

          Representative Information

          I hereby appoint the following individual(s) as my representative(s) to act on my behalf before the IRS.

          Name

            Firm or Organization (if applicable)

              Address

                Phone number

                  Email

                    Tax Matters Authorized

                    Please specify the tax matters for which this power of attorney is granted (e.g., tax year or type of tax)

                      Acts Authorized

                      The representative(s) named above are authorized to perform the following acts on my behalf (check all that apply)

                        • Receive confidential tax information

                        • Sign agreements or consents

                        • Represent me before the IRS in audits or other proceedings

                        Signature

                        Name:

                        Date:

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