Oregon Tax Power Of Attorney Form 150 800 005

Information you will need

• Clear Form
• Taxpayer Name
• Spouse Name
• Spouse ID Number
• Taxpayer ID Number
• Title of Executing Party
• Signature Date
• Print Name
• Taxpayer Address
• Taxpayer City
• Taxpayer State
• Taxpayer ZIP Code
• Taxpayer Area Code
• Taxpayer Telephone Number
• Retain Prior Authorization
• Revenue Employee
• Revenue Employee Phone/Fax Number
• Revenue Employee Division/Section
• Representative Name
• Representative Area Code
• Representative Fax Area Code
• Representative Telephone Number
• Representative Fax Number
• Representative Address

…and 9 more fields in the PDF.

Completed by the employee and the agent.

The form includes 1 signature line.