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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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