Get CT LGL-001 2018-2024

Consult a DRS representative to find out the name and the address or fax number where the LGL-001 should be directed. To contact DRS call 1-800-382-9463 Connecticut calls outside the Greater Hartford calling area only and select Option 2 from a touch-tone phone or 860-297-5962 from anywhere. Department of Revenue Services State of Connecticut 25 Sigourney Street Hartford CT 06106-5032 LGL-001 Power of Attorney RESET FORM Rev. 07/08 Part I Taxpayer s Giving a Power of Attorney to Another Person Taxpayer s Name Social Security Number Spouse s Name Personal income tax or individual use tax only Mailing Address Connecticut Tax Registration Number City State ZIP Code Federal Employer Identification Number Taxpayer is Check box Corporation Partnership Sole Proprietorship Trust other than a business trust Estate Individual Limited Liability Company Business Trust Other specify Part II Declaration of Person s Giving Power of Attorney and Powers Given See instructions for who may execute this power of attorney. This power of attorney does not change the requirement that DRS send all official mailings directly to Another Person Provide the taxpayer s name and address and either your Social Security Number SSN or Connecticut Tax Registration Number and Federal Employer Identification Number. If you are a sole proprietor enter your name and SSN. Do not enter your trade name. Do not use your representative s address as your own. Your spouse s name is not required except for joint personal income tax or individual use tax returns. If you are filing a joint personal income tax return and you and your spouse have the same representative s include your spouse s name and SSN in the space provided. Otherwise each spouse must file a separate LGL-001. Check one box only. Name Tax Type Sales Tax Gift Tax etc. Address Check One Box Telephone Number Year s or Period s Use LGL-001 Power of Attorney to authorize one or more individuals to represent you before DRS. This authorization allows your representative s to receive and inspect confidential tax information and to act on your behalf in matters before DRS. Connecticut law stipulates that all official mailings will be sent to the taxpayer of record at the address on file with DRS. As a matter of policy DRS also provides taxpayers with the right to have a copy of any notice sent to its counsel or other qualified representative who has properly executed and filed this power of attorney with DRS for the type of tax and tax period that is the subject of the notice. 12-725-1 b allows an agent or a fiduciary charged with the care of the person or property of the taxpayer to make and sign a return only when illness absence minority or other good cause prevents the person required or permitted to make or file a Connecticut income tax return from doing so. You must state a reason why the taxpayer cannot sign the return. A limited liability company LLC member if the taxpayer is an LLC and has no manager or a manager if the taxpayer is The sole proprietor if the taxpayer is a sole proprietorship A general partner if the taxpayer is a partnership or a limited The administrator or executor if the taxpayer is an estate The trustee if the taxpayer is a trust If the taxpayer is a corporation a principal officer or corporate officer who has legal authority to bind the corporation any LGL-001 Back 07/08 person who is designated by the board of directors or other governing body of the corporation any officer or employee of the corporation upon written request signed by a principal officer of the corporation and attested to by the secretary or other officer of the corporation or any other person who is authorized to receive or inspect the corporation s return or return information under I.