Form BOE-392 Fillable Power of Attorney

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Download Form BOE-392

View all CA - California Sales, Use and Other Taxes

do not enter names of accounting or law firms partnerships corporations etc as the appointee name] (Address (Number and Street City State ZIP Code)) (Appointee Address (Number and Street)) (Appointee Business Name (if applicable)) (Appointment name) (Area Code) (Area Code) (Area Code) (Area Code) (Board of Equalization Accounting/Permit(s)) (Business or Corporate Name) (California Secretary of State Number(s)) (City) (City) (State) (ZIP Code) (Clear) Clear (Date Power of Attorney Granted) (Date) (EDD Employer Account Number) (Fax number) (Fax Number) (Federal Employer Identification Number(s)) (Franchise and Income Tax Law) Unchecked (Individual) Unchecked (Mailing Address (Number and Street City State ZIP Code)) (Name) (Note: Not all FTB processing systems are capable of generating representative copies at this time ) (other) (Other) (Print Name) (Print) Print (Sales and Use Tax Law) Unchecked (Social Security Number) (Specify the tax or fee year(s) or period(s) (if estate tax indicate date of death)(for Board of Equalization and Franchise Tax Board purposes)) (State Board of Equalization PO Box 942879 Sacramento Ca 94279 0001 800 400 7115) Unchecked (State) (Street) (Taxpayer's name) (Telephone number) (Telephone Number) (Telephone Number) (The back of this form must be completed) (TIME LIMIT/EXPIRATION DATE (for Board of Equalization and Franchise Tax Board purposes)) (Title (if applicable)) (Use Fuel Tax Law) Unchecked (Zip Code) [specify expiration date if limited term] 800 400 7115 FAx 916 843 5440 916 654 7263 FAx 916 654 9211 ADDRESS (Number and Street City State ZIP Code) APPOINTEE ADDRESS (Number and Street) APPOINTEE BUSINESS NAME (If applicable) APPOINTEE NAME are a corporate officer partner guardian tax matters partner/person executor receiver registered domestic partner administrator As attorney(s) in facttorepresentthe taxpayer(s)forthe followingtaxorfee matters: [specify type(s) of tax] As owner officer receiver administrator or trustee for the taxpayer or as a party to the tax or fee matter before the: become available BOARD OF EQUALIZATION ACCOUNT/PERMIT(S) BOE 392 (BACK) REV 9 (3 11) BOE 392 (FRONT) REV 9 (3 11) STATE OF CALIFORNIA BUSINESS OR CORPORATION NAME CALIFORNIA SECRETARY OF STATE NUMBER(S) Check below to indicate the appropriate agency Please note that a separate form must be completed and provided to each agency checked Check this box if you do not want FTB to send copies of available FTB computer generated notices to your first CORPORATION DATE POWER OF ATTORNEY GRANTED earlier power(s)] EDD EMPLOYER ACCOUNT NUMBER EMPLOYMENT DEVELOPMENT DEPARTMENT Employment Development DepartmentIhereby appoint:[enter below the individual appointee(s) name(s) address(es) (including ZIP Code) telephone number(s) and fax number(s) FAX NUMBER FAX NUMBER FEDERAL EMPLOYER IDENTIFICATION NUMBER(S) form on behalf of the taxpayer Franchise and Income Tax Law FRANCHISE TAX BOARD Franchise Tax Board (FTB) will send you and your first representative listed a copy of FTB computer generated notices as they FRANCHISE TAx BOARD EMPLOYMENT DEVELOPMENT DEPARTMENT FranchiseTax Board General Authorization (including all acts described below) identified agency and attend any meetings or hearings thereto for the specified law identified above IFTHISPOWEROFATTORNEYISNOT SIGNEDANDDATEDBYAN AUTHORIZED INDIVIDUAL ITWILLBE RETURNEDASINVALID INDIVIDUAL LIMITED LIABILITY COMPANY MAILING ADDRESS (Number and Street City State ZIP Code) or trustee on behalf of the taxpayer by signing this Power of Attorney you are certifying that you have the authority to execute this OTHER Other acts (specify): PARTNERSHIP Payroll Tax Law Payroll Tax Law and Benefit Reporting perform on behalf of the taxpayer(s) the following acts for the tax or fee matters described above: [check the box(es) for the periods covered by this form except for the following: [specify to whom granted date and address or refer to attached copies of PO BOx 942879 PO BOx 2828 MS F283 PO BOx 826880 MIC 28 POWER OF ATTORNEY BOARD OF EQUALIZATION powers granted] PRINT NAME representative listed SACRAMENTO CA 94279 0001 RANCHO CORDOVACA 95741 2828 SACRAMENTO CA 94280 0001 Sales and Use Tax Law Benefit Reporting Signature ofTaxpayer(s) If a tax matter concerns a joint return both spouses must sign if joint representation is requested If you SIGNATURE TITLE (If applicable) SOCIAL SECURITY NUMBER Specific Authorization (selected acts described below) SPECIFY THE TAx OR FEE YEAR(S) OR PERIOD(S)[IF ESTATE TAx INDICATE DATE OF DEATH](for Boardof Equalization and FranchiseTax Boardpurposes) STATE BOARD OF EQUALIZATION State Boardof Equalization TAXPAYER S NAME TELEPHONE TELEPHONE NUMBER TELEPHONE NUMBER The attorney(s) in fact (or any of them) are authorized subject to revocation to receive confidential tax information and to the Employment Development Department or the FranchiseTax Board as identified above for the same matters and years or This Power of Attorney revokes all earlier Power(s) of Attorney on file with the California State Board of Equalization TIME LIMIT/ExPIRATIONDATE (for Boardof Equalization and FranchiseTax Boardpurposes) To confer and resolve any assessment claim or collection of a deficiency or other tax or fee matter pending before the To delegate authority or to substitute another representative To execute closing agreements under section 19441 of the California Revenue and Taxation Code To execute consents extending the statutory period for assessment or determination of taxes To execute petitions claims for refund and/or amendments thereto To execute settlement agreements under section 1236 of the California Unemployment Insurance Code To execute settlement agreements under section 19442 of the California Revenue and Taxation Code To receive but not to endorse and collect checks in payment of any refund of taxes penalties or interest To represent the taxpayer for changes to their mailing address for any and all Payroll Tax Law Benefit Reporting both Unless limited this Power of Attorney will remain in effect until the final resolution of all tax matters specified herein Use Fuel Tax Law Other:

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