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Get Alabama Department Of Revenue 8821 Form

Reset Form FORM 8821A REV. 10/05 ALABAMA DEPARTMENT OF REVENUE Tax Information Authorization NOTE If you have questions concerning the completion of this form please refer to the instructions for Federal Form 8821 revised January 2000. Alabama Form 8821A is very similar to the federal form* 1 TAXPAYER INFORMATION TAXPAYER NAME S AND ADDRESS Please Type or Print SOCIAL SECURITY NUMBER S EMPLOYER IDENTIFICATION NUMBER DAYTIME TELEPHONE NUMBER 2 APPOINTEE Please Type or Print NAME AND ADDRESS TELEPHONE NUMBER FAX NUMBER is authorized to inspect and/or receive confidential tax information in any office of the Alabama Department of Revenue for the following tax matters 3 TAX MATTERS TYPE OF TAX Individual Corporate Sales etc* TAX FORM NUMBER 40 20C 41 65 etc* YEAR S or PERIOD S 4 DISCLOSURE OF TAX INFORMATION check only one of the following if applicable a If you want tax information notices and other written communications sent to the appointee on an ongoing basis check this box. b Check this box if you do not want any notices or communications sent to the appointee. 5 RETENTION / REVOCATION OF TAX INFORMATION AUTHORIZATION* This tax information authorization automatically revokes all earlier tax information authorizations on file with the Alabama Department of Revenue for the same tax matters and years or periods covered by this document. If you do not want to revoke a prior tax information authorization check this box. 6 SIGNATURE OF TAXPAYER S. If a tax matter concerns a joint return either husband or wife must sign* If signed by a corporate officer partner guardian executor receiver administrator trustee or party other than the taxpayer I certify that I have the authority to execute this form with respect to the tax matters/periods covered* If this tax information authorization is not signed it will be returned* SIGNATURE DATE TITLE IF APPLICABLE PRINT NAME Form 8821A. Alabama Form 8821A is very similar to the federal form* 1 TAXPAYER INFORMATION TAXPAYER NAME S AND ADDRESS Please Type or Print SOCIAL SECURITY NUMBER S EMPLOYER IDENTIFICATION NUMBER DAYTIME TELEPHONE NUMBER 2 APPOINTEE Please Type or Print NAME AND ADDRESS TELEPHONE NUMBER FAX NUMBER is authorized to inspect and/or receive confidential tax information in any office of the Alabama Department of Revenue for the following tax matters 3 TAX MATTERS TYPE OF TAX Individual Corporate Sales etc* TAX FORM NUMBER 40 20C 41 65 etc* YEAR S or PERIOD S 4 DISCLOSURE OF TAX INFORMATION check only one of the following if applicable a If you want tax information notices and other written communications sent to the appointee on an ongoing basis check this box. b Check this box if you do not want any notices or communications sent to the appointee. 5 RETENTION / REVOCATION OF TAX INFORMATION AUTHORIZATION* This tax information authorization automatically revokes all earlier tax information authorizations on file with the Alabama Department of Revenue for the same tax matters and years or periods covered by this document.

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