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Form REV185i, Authorization to Release Individual or Sole Proprietor Tax Information
Read instructions before completing this form.
Taxpayer Name Social Security Number or ITIN
Street Address or PO Box Minnesota or Federal Employer Identification Number (FEIN)(Sole Proprietors)
Apt. or Suite Phone Number Fax Number
Taxpayer
City State ZIP Code Email Address
Name of Person to Receive Return Information Attorney Number, Accountant Number, or PTIN
Street Address or PO Box Phone Number
Apt. or Suite Fax Number
Recipient
City State ZIP Code Email Address
I authorize the person above to receive private data for the following:
Type of Tax (Such as Income, Estate,Property Tax Refund, Withholding) or Debt Issue Document Type (Such as returns, W-2s, 1099s) Extended Expiration Date
Type of Information
This authorization is not valid until it is signed and dated by the taxpayer.
Parent, Guardian, Conservator: I certify that I have the legal authority to sign this form.
Signature Date Address, If Different from Taxpayer
Signature Print Name and Title, If Applicable Phone Number City State ZIP Code
Send a signed copy of this form to the department:
Mail: Minnesota Department of Revenue, Mail Station 7703, 600 Robert Street North, St. Paul, MN 55146
Fax: 651-556-5210
Email: MNDOR.POA@state.mn.us
Form REV185i Instructions
Purpose of This Form If granting authority for a joint return, only one spouse needs to
By signing this form, you authorize the Minnesota Department of sign. Parents or legal guardians must sign for minors.
Revenue to release private data to the person above. For legal guardians, conservators, personal representatives, and
An authorized recipient may inspect or receive private data, others signing on behalf of the taxpayer, we require documents
but may not act on your behalf. To grant additional authority, and a photo ID to confirm your legal authority.
complete Form REV184i, Individual Power of Attorney. We reserve the right to request additional information as needed.
Business Entities Expiration
To authorize the department to release nonpublic data about a This authorization expires once the data is released. To extend the
business, complete Form REV185b, Authorization to Release amount of time this authorization is valid for, indicate when you
Business Tax Information. want it to expire in the Tax Type or Issue section of this form.
Your Signature
This authorization is not valid until it is signed and dated by Questions?
Website: www.revenue.state.mn.us
someone with legal authority to sign it. For most people, this is
Email: MNDOR.POA@state.mn.us
the taxpayer whose data is being shared. Phone: 651-556-3003 or 1-800-657-3909
(Rev. 11/19)
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