Arkansas Tax Power Of Attorney

Information you will need

• Taxpayer Name
• Taxpayer Street
• Taxpayer City, State, ZIP
• Spouse SSN
• Primary SSN
• Employer Identification Number
• Revocation Date
• Sales Tax Permit Number
• Daytime Phone Number
• Representative Name
• Representative Street
• Representative City, State, ZIP
• Representative Phone
• Representative Fax
• Type of Tax
• Year or Period
• Additions or Deletions
• Signature Date
• Title

Completed by the employer.

The form includes 1 signature line.

The document text refers to the laws of Arkansas.