Get CA BOE-392 2021-2024

To execute petitions claims for refund and/or amendments thereto. To execute consents extending the statutory period for assessment or determination of taxes. To execute closing agreements under section 19441 of the California Revenue and Taxation Code. To execute settlement agreements under section 19442 of the California Revenue and Taxation Code. To Other acts specify become available. Check this box if you do not want FTB to send copies of available FTB computer generated notices to your first representative listed. Note Not all FTB processing systems are capable of generating representative copies at this time. CDTFA-392 FRONT REV. 10 7-17 STATE OF CALIFORNIA POWER OF ATTORNEY CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION FRANCHISE TAX BOARD EMPLOYMENT DEVELOPMENT DEPARTMENT Check below to indicate the appropriate agency. BOX 942879 SACRAMENTO CA 94279-0001 800-400-7115 PO BOX 2828 MS F 283 RANCHO CORDOVA CA 95741-2828 FAX 916-843-5440 TAXPAYER S NAME BUSINESS OR CORPORATION NAME SOCIAL SECURITY NUMBER FEDERAL EMPLOYER IDENTIFICATION NUMBER PO BOX 826880 MIC 28 916-654-7263 FAX 916-654-9211 TELEPHONE NUMBER FAX NUMBER CALIFORNIA SECRETARY OF STATE NUMBER S EDD EMPLOYER ACCOUNT NUMBER MAILING ADDRESS Number and Street City State ZIP Code INDIVIDUAL PARTNERSHIP CORPORATION LIMITED LIABILITY COMPANY OTHER As owner officer receiver administrator or trustee for the taxpayer or as a party to the tax or fee matter before the California Department of Tax and Fee Administration Franchise Tax Board Employment Development Department I hereby appoint enter below the individual appointee s name s address es including ZIP code telephone number s and fax number s do not enter names of accounting or law firms partnerships corporations etc. as the appointee name APPOINTEE NAME APPOINTEE BUSINESS NAME if applicable APPOINTEE ADDRESS Number and Street City State ZIP Code As attorney s -in-fact to represent the taxpayer s for the following tax or fee matters specify type s of tax Franchise and Income Tax Law Sales and Use Tax Law Use Fuel Tax Law Payroll Tax Law Benefit Reporting Other SPECIFY THE TAX OR FEE YEAR S OR PERIOD S IF ESTATE TAX INDICATE DATE OF DEATH for California Department of Tax and Fee Administration and Franchise Tax Board purposes The attorney s -in-fact or any of them are authorized subject to revocation to receive confidential tax information and to perform on behalf of the taxpayer s the following acts for the tax or fee matters described above check the box es for the powers granted General Authorization including all acts described below. This Power of Attorney revokes all earlier Power s of Attorney on file with the California Department of Tax and Fee Administration the Employment Development Department or the Franchise Tax Board as identified above for the same matters and years or periods covered by this form except for the following specify to whom granted date and address or refer to attached copies of earlier power s NAME DATE POWER OF ATTORNEY GRANTED ADDRESS Number and Street City State ZIP Code Unless limited this Power of Attorney will remain in effect until the final resolution of all tax matters specified herein. specify expiration date if limited term TIME LIMIT/EXPIRATION DATE for California Department of Tax and Fee Administration and Franchise Tax Board purposes Signature of Taxpayer s If a tax matter concerns a joint return both spouses must sign if joint representation is requested. If you are a corporate officer partner guardian tax matters partner/person executor receiver registered domestic partner administrator or trustee on behalf of the taxpayer by signing this Power of Attorney you are certifying that you have the authority to execute this form on behalf of the taxpayer. To receive but not to endorse and collect checks in payment of any refund of taxes penalties or interest. The back of this form must be completed CDTFA-392 BACK REV. 10 7-17 To represent the taxpayer for changes to their mailing address for any and all Payroll Tax Law Benefit Reporting both To delegate authority or to substitute another representative.