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DELAWARE Page 1
Authorization to Release Tax Information
FORM 8821DE
Completion and submission of this form authorizes the Delaware Division of Revenue to release confidential information of the
Taxpayer(s) named below to the authorized person(s) or organization named below for the tax type(s) specified below. This
form does not give Power of Attorney and does not grant the authorized person(s) or organization any powers of representation.
Unauthorized disclosure of tax information is a criminal offense.
Read the instructions below before completing this form. Social Security or Federal Employer ID number
Your name or name of entity
Spouse’s name, if joint (or corporate officer, partner of fiduciary if a business)
Spouse’s Social Security number (if a joint return)
Street address
City State ZIP Code
I authorize the following person of organization to inspect and/or receive private and non-public information in regard
to the tax types and periods provided below.
Name of person or oganization to receive tax information Name of firm (if applicable)
Street address
City State ZIP Code -
or Organization
Phone Number Fax Number
The above person or organization is authorized to receive the following tax information (check all that apply):
Type of Tax Year(s) or Period(s)
Individual Income from MM DD YY to MM DD YY
Corporate Income from MM DD YY to MM DD YY
Pass-through Return from MM DD YY to MM DD YY
Gross Receipts from MM DD YY to MM DD YY
Withholding from MM DD YY to MM DD YY
Other (please specify): from MM DD YY to MM DD YY
The authorization to release tax information is not valid until it is signed and dated. It will expire 60 days after the information is released. By signing this
form, I hereby certify that the Delaware Division of Revenue is authorized to release any and all confidential information concerning the above mentioned
Tax Information Authorized Person Print or Type release any and all confidential information concerning the above mentioned Taxpayer under penalty of law. A copy of this form will be mailed to the
individual(s) authorizing the release.
Your Signature Date Spouse’s Signature (if joint) Date
MM DD YY MM DD YY
Print Name Print Spouse’s Name (if joint)
Print Title (if applicable) Phone
Sign Here
Phone
Mail to: Delaware Division of Revenue, 820 North French Street, Wilmington, ,DE 19801
Form 8821DE Instructions
Purpose of this form
You must complete, sign and return this form if you want to authorize a person ororganization to inspect and/or receive certain private or nonpublic
information concerning your state taxes. By completing and signing this form, you are authorizing the Division of Revenueto release tax information
to the person or organization you have indicated. Revenue will accept copies of the form,including those from a FAX machine. This authorization will
expire 60 days after the information is released to the person or organization you have indicated.
Your Signature
The authorization to release tax information is not valid until it is signed and dated. Your spouse must also sign if joint returns are listed.Your
signature at the bottom of this form authorizes the individual or organization you designate to only be able to inspect and/or receive confidential tax
information on your behalf.
Questions?
If you have questions on how to complete this form or to fax this form, call (302) 577-8200 for a staff contact who will provide you with a fax number.
You must include a Division of Revenue contact name on all faxed authorization forms.
(Rev 06/2017)