Minnesota Authorization to Release Tax Information (Revised 11/19)

Authorization to Release Tax Information (Revised 11/19)
REV185b, Authorization to Release Business Tax Information
Form REV185b, Authorization to Release Business Tax Information

Recipient

Business Taxpayer
Information

Read instructions before completing this form.
Business Taxpayer Name	

Minnesota or Federal Employer Identification Number (FEIN)

Street Address or PO Box		

Phone Number	

Apt. or Suite			

For combined business returns: Filing entity name (if different)	

City	

Filing entity FEIN/TIN

ZIP Code	

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

City	

Type of Information

State 	

Fax Number

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

	

Signature

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

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:	 [email protected]

Form REV185b Instructions
Purpose of This Form

Your Signature

An authorized recipient may inspect or receive nonpublic data,
but may not act on your behalf. To grant additional authority,
complete Form REV184b, Business Power of Attorney.

We reserve the right to request additional information as needed.

By signing this form, you authorize the Minnesota Department of
Revenue to release nonpublic data to the person above.

Individuals

To authorize the department to release private data about an
individual, complete Form REV185i, Authorization to Release
Individual Tax Information.

(Rev. 11/19)

Owners or officers: Sign, date, print your name and title, and enter your
contact information.

Expiration

This authorization expires once the data is released. To extend the amount
of time this authorization is valid for, indicate when you want it to expire
in the Tax Type or Issue section of this form.

Questions?

Website:	www.revenue.state.mn.us
Email:	 [email protected]
Phone:	 651-556-3003 or 1-800-657-3909