Utah Taxpayer Power of Attorney Form

The following form is widely used by accountants. You are required to use this form in the case of hiring a third party to file and fill in your State of Utah tax forms.

Extracted Text for Proper Search

Utah State Tax Commission 
Power of Attorney and Declaration of Representative  	
Taxpayer name(s) and addresses Social Security/Account number 
The taxpayer(s) named above hereby appoint the following representativ\
e(s) as attorney(s)-in-fact 
(attach additional sheets if necessary) 
Name and address 
Fax number  
Name and address Fax number  
Name and address Fax number  
Tax matters to be represented for the taxpayer(s) before the Utah State Tax Commission 
Type of tax  Social Security/Account number  Year or period  Appeal number if known 
Type of tax Social Security/Account number  Year or period  Appeal number if known 
Type of tax Social Security/Account number  Year or period  Appeal number if known 
Signature of taxpayer(s)  Date
If signed by a corporate officer, partner, or fiduciary on behalf of the taxpayer, I c ertify that I have the authority to execute this
power of attorney on be half of the taxpayer. 
Signature of tax representative(s)
Title	
    TC-737 Rev. 1/11 	
 
 
 	Subject to revocation in writing, my representative is authorized to receive, inspect or review confidential tax information an d to 
perform any and all acts on my behalf  to facilitate audits, to negotiate or enter agreements, and to act as my representative i n 
adjudicative proceedings before the Commission. The au thority does not include the power to receive refund checks, the power 
to substitute another representative or the authori ty to disclose confidential tax information to other parties.
Retention/revocation of prior power(s) of attorney.  The filing of this power of attorney automatically revokes (unless you 
check the box below) all earlier power(s) of attorney on file with the Utah St ate Tax Commission for the same matters and years 
or periods covered by this document.	
 	
Date	
  Telephone number  
Telephone number  
Telephone number  	
 
Check the box if you do not want to revoke a prior power of attorney.