Pennsylvania Tax Power Of Attorney Form REV 677 LE

Information you will need

• Taxpayer Name
• Taxpayer Address
• Taxpayer City
• Taxpayer State
• Granter Name
• Granter Date
• Granter City
• Granter State
• Granter Address
• Other (specify)
• NEXT PAGE
• Print Form
• RETURN TO PAGE ONE
• RETURN TO TOP OF PAGE
• RESET FORM
• Start
• arrow
• Signature
• MM/DD/YYYY
• Title of Executing Party
• Signature Date
• Power to Receive Refund Checks
• Taxpayer ZIP Code
• Granter ZIP Code

…and 20 more fields in the PDF.

Completed by the agent.

The form includes 4 signature lines, a notary acknowledgment, a witness section.