New Jersey > Statewide > Division Of Taxation > Miscellaneous
Appointment Of Taxpayer Representative M-5008-R - New Jersey
| Appointment Of Taxpayer Representative Form. This is a New Jersey form and can be used in Miscellaneous Division Of Taxation Statewide . |
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Form M-5008-R (2-12) State of New Jersey Division of Taxation Page 1 of 2 APPOINTMENT OF TAXPAYER REPRESENTATIVE (TYPE OR PRINT) 1. Taxpayer Information (if matter involves a joint income return, enter both names if joint representation is requested). Trusts: Enter the name and EIN of the trust, name and address of the trustee. Estates: Enter the name and EIN of the estate, name and address of the executor or administrator. Taxpayer's Name Social Security number Spouse's/CU Partner's Name Mailing Address Social Security number NJ Taxpayer ID number (if other than SS#) City Name and Address of Trustee or Executor State Zip Taxpayer is: Individual (for an income or individual use tax return filed by that individual, or a joint income tax return filed by the individual and his/her spouse/cu partner). Corporation Partnership Sole Proprietorship Estate Limited Liability Company Trust (other than a business trust) Other: ___________ 2. Representative Information (representative(s) must date and sign on page 2). The taxpayer(s) named above hereby appoints the person(s) named below as his/her/their taxpayer representative. Telephone Number: Fax Number: Representative ID: Name and Address Telephone Number: Fax Number: Representative ID: To represent the taxpayer(s) before the State for the following tax matter(s): Name and Address 3. Tax Matters All tax matters Specific tax matters listed below: Type of Tax (NJ Gross Income, Sales and Use, Corporate Business, Employment, etc.) Year(s) & Period(s) 4. Acts Authorized. The representative(s) is/are authorized to receive and inspect confidential tax records and is/are granted full power to act with respect to the tax matters described in section 3 above, and to do and perform all such acts as I could do or perform. The authority does not include the power to endorse a refund check. _________________________________ Taxpayer Signature _________________________________ Taxpayer Signature __________________ Date __________________ Date __________________________ Title (if applicable) __________________________ Title (if applicable) American LegalNet, Inc. www.FormsWorkFlow.com Form M-5008--R (2-12) Taxpayer Name: ___________________________________ SS # ____________________ Page 2 of 2 5. Notices and Communications. Original notices and other written communications will be sent to you and a copy (other than automated computer notices), to the first representative listed in Section 2 unless you check one or more of the boxes below. I do not want any notices or communications sent to my representative(s). The second representative listed in section 2 should also receive a copy of notices and/or communications (other than automated computer notices). 6. Retention/Revocation of Prior Appointment(s) or Power(s). The filing of this Appointment of Taxpayer Representative automatically revokes all earlier Appointment(s) of Taxpayer Representative and/or Power(s) of Attorney on file with the Division of Taxation for the same tax matters and years or periods covered by this document unless the box below is checked. Check here if you do not want to revoke any prior Appointment(s) of Taxpayer Representative or Power(s) of Attorney. Attach copies of previous Appointment or Power that you do not want to revoke. 7. Signature of Taxpayer(s). If a tax matter concerns a joint return, both primary and spouse/cu partner must sign below if joint representation is requested. If signed by a corporate officer, partner, guardian, tax matters partner, executor, administrator, or trustee on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer(s). THIS APPOINTMENT OF TAXPAYER REPRESENTATIVE IS VOID IF NOT SIGNED AND DATED. I/We declare under penalty of law that I/We have examined this document and that all information included is true and correct to the best of my/our knowledge, information and belief. _________________________________ Taxpayer Signature _________________________________ Print Name _________________________________ Taxpayer Signature _________________________________ Print Name __________________ Date __________________________ Title (if applicable) __________________ Date __________________________ Title (if applicable) 8. Acceptance of Representation and Sample Signature. I/We hereby accept appointment as representative(s) for taxpayer(s) who has/have executed this Appointment of Taxpayer Representative. _________________________________ Representative Signature _________________________________ Print Name _________________________________ Representative Signature _________________________________ Print Name American LegalNet, Inc. www.FormsWorkFlow.com __________________ Date __________________________ Title (if applicable) __________________ Date __________________________ Title (if applicable) Page 1 of 2 (2--12) STATE OF NEW JERSEY DIVISION OF TAXATION INSTRUCTIONS FOR FORM M-5008-R APPOINTMENT OF TAXPAYER REPRESENTATIVE Purposes of Form. Form M-5008-R, Appointment of Taxpayer Representative, may be used to designate an individual(s) named as representative(s) and grants the representative(s) the authority to obligate, bind or appear on your behalf with respect to the tax matters listed in Section 3 of the Appointment of Taxpayer Representative Form. This form may be used for all New Jersey taxes except those pertaining to Property Administration. (Refer to Form M-5041). The representative(s) may be authorized to receive your confidential tax information. Unless otherwise indicated, the representative(s) may also perform any and all acts that you can perform, including consenting to extend the time to assess tax, or executing consents that agree to a tax adjustment. Representatives may not sign returns or delegate authority unless specifically authorized on the Appointment of Taxpayer Representative. Note: Authorizing someone to represent you before the Division by an Appointment of Taxpayer Representative does not relieve you of your tax responsibilities or obligations. It primarily allows for representation by others in most matters concerning tax administration, investigations, examinations/audits and other forms of taxpayer conferences. Since the obligation for tax liabilities lies with the taxpayer, the authority granted to a representative may not extend through certain aspects of the collection process to include, but not limited to judgments, levies, liens and seizures. In those insta
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