North Dakota Tax Power Of Attorney Form 500

Information you will need

• Taxpayer Signing Date
• Spouse Signing Date
• Tax Payer Telephone Number
• Taxpayer SSN or FEIN
• Spouse Telephone Number
• Spouse SSN or FEIN
• Taxpayer Address
• Taxpayer City
• Taxpayer State
• Taxpayer ZIP Code
• Taxpayer Email Address
• Taxpayer Fax Number
• Authorization to Disclose Tax Information
• Designation of Representative
• Authorization to Disclose Tax Information by Fax or Email
• Revocation
• Representative Name
• Representative Telephone Number
• Representative SSN or FEIN
• Representative Address
• Representative City
• Representative State
• Representative ZIP Code
• Representative Email Address

…and 6 more fields in the PDF.

Completed by the employer.