Fillable Printable Power of Attorney Example - South Dakota

Power of Attorney Example - South Dakota

RV-071

Revised 08/08

Power of Attorney

South Dakota Department of Revenue

445 E. Capitol Ave | Pierre, SD 57501-3185 | 1-800-TAX-9188

Please ll out this form if you have an accounting rm or reporting service compile your tax applica-

tions andreturns for you.

Licensee’s are required to le returns/application and pay taxes/fees as they are owed. They are also re-

quired toaccept and respond to various types of ofcial communications with the Department of Revenue.

If a licensee prefers an Accounting or Reporting rm to fulll these responsibilities this authorization form

is tobe completed. This is a privilege extended to the licensee which requires special handling by the de-

partment, therefore,such action will not be considered unless this form is properly completed and placed

on le with the Department.However, the completion of this form does not relieve the licensee of the legal

obligations associated with a particularlicense. The licensee is ultimately responsible for the payment of the

tax/fee as well as all acts and omissions of the statedAccounting or Reporting rm.

Power of Attorney

KNOW ALL MEN BY THE PRESENT, that the undersigned principal and licensee has made and

appointed,and does hereby make and appoint (Firm’s Name)

Or agents or employees, with the ofces at (Mailing Address)

(Phone Number)

to act as Attorney-in-Fact for the undersigned, who makes this appointment either personally or in an autho-

rizedrepresentative capacity on behalf of a principal partnership, corporation, or other entity; this power of

attorneyshall be limited to the following specic purposes involving the South Dakota license(s) indicated:

To prepare, sign and le applications with the Department of Revenue.

To prepare, sign and le with the Department of Revenue periodic tax returns or reports as required

by South Dakota law.

To collect refunds owed to the principal by the State of South Dakota.

To take legal notice of all delinquencies, cancellation listings and ofcial mailings preparedand sent

by the Department of Revenue.

To take legal notice of all tax rate/fee changes.

To preserve all records required to be kept by the principal for the statutory period of time.

To respond to communications when such responses are requested by the Department ofRevenue.

To take legal notice of all Notices of Intent to Audit.

To present to ofcials of the Department of Revenue all records requested to be inspected.

To cooperate and assist all ofcials of the Department of Revenue while they are conducting all

audits.

To take legal notice of all Certicates of Assessment.

HELP

Complete and use the button at the end to print for mailing.

SD EForm -

1285

The Power of Attorney shall be effective upon receipt thereof by the Department of Revenue

and shallcontinue until cancelled by ling with the department an instrument properly executed and reciting

such cancellation.

IN WITNESS WHERE OF, the undersigned has caused these present to be execute, for benet of the

principal namebelow.

Please check the following licenses which you hold or are applying for:

Business Tax License(s) Tax License Number(s) if previously assigned

Sales/Use Tax License

Manufacturers License

Wholesalers License

Contractors’ Excise Tax License

Special Licenses

Alcohol Wholesalers License

Tobacco Distributor License

Accounting or Reporting Firm By: Principle and Licensee By:

Company Name Company Name

FEIN or SS# FEIN or SS#

Signature of Owner/Legal Rep. Signature of Owner/Legal Rep.

Title Title

Address-Mailing Address-Mailing

City/State City/State

Phone Number Phone Number

State of:

County of:

On this day of , before the undersigned, a Notary of the Public for the

State of personally appeared known to

be the person whose name is subscribed to the within instrument, and acknowledge to me that he

executed the same in capacity as shown.

IN WITNESS WHEREOF, I have set my hand and seal this day

of ,this certicate above written.

Notary Public

My commission expires:

PRINT FOR MAILING

CLEAR FORM