Form REV185b, Authorization to Release Business Tax Information
Read instructions before completing this form. 
                                                                    Business Taxpayer Name                                                            Minnesota or Federal Employer Identification Number (FEIN)

                                                                    Street Address or PO Box                                                         Phone Number                  Fax Number

                                                                    Apt. or Suite                                                                    For combined business returns: Filing entity name (if different) 
                                                         Information
                                                                    City                                                        State   ZIP Code     Filing entity FEIN/TIN
                    Business Taxpayer 

                                                                    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

                                                                    The person above is authorized to receive and inspect nonpublic data about the business for the following:             
                                                                    Type of Tax (Such as Business Income, Sales, Withholding) or Debt Issue          Tax Form Name or Number (If applicable)  Extended Expiration Date
                                                                     
                                      Type of Information

                                                                    This authorization is not valid until it is signed and dated by someone with legal authority to sign agreements on behalf of the business taxpayer.  
                                                                    I certify that I have the legal authority to sign this form.
                                                                    Signature                                                           Date           Address, If Different from Taxpayer

                                      Signature                     Print Name and Title                                                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 REV185b Instructions

Purpose of This Form                                                                                                                         Your Signature
By signing this form, you authorize the Minnesota Department of                                                                              Owners or officers: Sign, date, print your name and title, and enter your 
Revenue to release nonpublic data to the person above.                                                                                       contact information.
An authorized recipient may inspect or receive nonpublic data,                                                                               We reserve the right to request additional information as needed.
but may not act on your behalf. To grant additional authority, 
                                                                                                                                             Expiration
complete Form REV184b, Business Power of Attorney.                                                                                           This authorization expires once the data is released. To extend the amount 
Individuals                                                                                                                                  of time this authorization is valid for, indicate when you want it to expire 
To authorize the department to release private data about an                                                                                 in the Tax Type or Issue section of this form.
individual, complete Form REV185i, Authorization to Release 
Individual Tax Information.                                                                                                                  Questions?
                                                                                                                                             Website: www.revenue.state.mn.us
                                                                                                                                             Email:  MNDOR.POA@state.mn.us
                                                                                                                                             Phone:  651-556-3003 or 1-800-657-3909
(Rev. 11/19)