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Missouri Free Printable 2827 - Power of Attorney for 2024 Missouri Power of Attorney

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Power of Attorney
2827 - Power of Attorney

Print Form Reset Form Please print on white paper only Department Use Only (MM/DD/YY) Form 2827 Power of Attorney Taxpayer Missouri Taxpayer Federal Tax I.D. Number Employer I.D. Number *14504010001* 14504010001 Taxpayer Social Security Number All appointed representatives must sign on reverse side of this form. Taxpayer’s Name or Business Name Spouse’s Name or if a DBA, state the business name Spouse’s Social Security Number | Street Address | City | | | | | | | | | | | | | Missouri Charter Number State Zip Code | | | | Telephone Number (__ __ __) __ __ __ - __ __ __ __ E-mail Address Name of Appointed Representative Address Telephone Number E-mail Address Name of Appointed Representative Address Telephone Number E-mail Address Name of Appointed Representative Address Telephone Number E-mail Address Name of Appointed Representative Address Telephone Number E-mail Address Representative(s) (___ ___ ___)___ ___ ___-___ ___ ___ ___ (___ ___ ___)___ ___ ___-___ ___ ___ ___ (___ ___ ___)___ ___ ___-___ ___ ___ ___ Removal of Power Year(s) and Period(s) Tax Type(s) (___ ___ ___)___ ___ ___-___ ___ ___ ___ r Cigarette or Other Tobacco Products r  Income Tax r  Pass-through Entity Tax r  Motor Fuel r  Sales or Use r  Withholding r  Other _____________________________________________________________________________________________________________________ Only select one of the following: r All Tax Periods r Range of Tax r Tax Year or Period(s) Only ___________________________________________ r Date of Death (if estate tax) ___ ___ / ___ ___ / ___ ___ ___ ___ Tax Period Beginning ___ ___ / ___ ___ / ___ ___ ___ ___ to Tax Period Ending ___ ___ / ___ ___ / ___ ___ ___ ___ r All other powers of attorney on file with the Department shall remain in effect, or r By execution of this power of attorney, all earlier powers of attorney on file with the Department are hereby revoked, except the following: (specify to whom the power of attorney was granted, date and address, or refer to attached copies of earlier powers of attorney and authorizations.) Attach additional forms if needed. Signature Under penalties of perjury, I (we) hereby certify that I (we) am (are) the taxpayer(s) named herein or that I have the authority to execute this power of attorney on behalf of the taxpayer(s). Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ NOTE: If Pass-through Entity Tax is selected see page 3 for member(s) signature(s). Current mailing and email address, as well as telephone number, must all be entered for the Affected Business Entity Representative . Please consult Missouri Regulation 12 CSR 10-41.030 for any questions about who may serve as an attorney(s)-in-fact and what additional documentation may be required. I declare that I am aware of Regulation 12 CSR 10-41.030 and that I am authorized to represent the taxpayers identified above for the tax matters there specified and that I am one of the following: Declaration of Representative(s) 1. 2. 3. 4. a member in good standing of the bar; a certified public accountant duly qualified to practice; an officer of the taxpayer organization; a full-time employee of the taxpayer; 5. 6. 7. 8. a fiduciary for the taxpayer; an enrolled agent; tax preparer, or other authorized representative or agent Note: All appointed representatives must sign below. If the representative is to serve as an Affected Business Entity Representative, fill in the Title of that person as “Affected Business Entity Representative”. Printed Name of Representative Signature of Representative Designation (Please select number from list above) Date (MM/DD/YYYY) ___ ___ / ___ ___ / ___ ___ ___ ___ Title (if applicable) r 1 r 2 r 3 r 4 r 5 r 6 r 7 r 8 Printed Name of Representative Signature of Representative Designation (Please select number from list above) Date (MM/DD/YYYY) ___ ___ / ___ ___ / ___ ___ ___ ___ Title (if applicable) r 1 r 2 r 3 r 4 r 5 r 6 r 7 r 8 Printed Name of Representative Signature of Representative Designation (Please select number from list above) Date (MM/DD/YYYY) ___ ___ / ___ ___ / ___ ___ ___ ___ Title (if applicable) r 1 r 2 r 3 r 4 r 5 r 6 r 7 r 8 Printed Name of Representative Signature of Representative Designation (Please select number from list above) Date (MM/DD/YYYY) ___ ___ / ___ ___ / ___ ___ ___ ___ Title (if applicable) r 1 r 2 r 3 r 4 r 5 r 6 r 7 r 8 *14504020001* 14504020001 Under penalties of perjury, I (we) hereby certify that I (we) am (are) members of, or an officer or manager of, the taxpayer named on this Form 2827, and that I (we together) am (are) authorized to designate an affected business entity representative for the taxpayer. Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - Pass-through Entity Member(s) __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Name Title (if applicable) Signature Date (MM/DD/YYYY) Taxpayer Telephone Number ( ) - __ __ / __ __ / __ __ __ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Form 2827 (Revised 11-2022) Mail to: (Business Tax) Taxation Division P.O. Box 357 Jefferson City, MO 65105-0357 Phone: (573) 751-5860 Fax: (573) 522-1722 E-mail: [email protected] (Pass Through Entity Tax) Taxation Division P.O. Box 3080 Jefferson City, MO 65105-3080 Phone: (573) 751-5860 Fax: (573) 522-1721 TTY: (800) 735-2966 E-mail: [email protected] (Personal Tax) Taxation Division P.O. Box 2200 Jefferson City, MO 65105-2200 Phone: (573) 751-3505 Fax: (573) 522-1762 E-mail: [email protected] (Motor Fuel Tax) Taxation Division P.O. Box 300 Jefferson City, MO 65105-0300 Phone: (573) 751-2611 Fax: (573) 522-1720 E-mail: [email protected] (Cigarette or Other Tobacco Products Tax) Taxation Division P.O. Box 811 Jefferson City, MO 65105-0811 Phone: (573) 751-7163 Fax: (573) 522-1720 E-mail: [email protected] If this is being submitted in response to an audit, please fax to (573) 522-6922. Visit dor.mo.gov/ for additional information. *14504030001* 14504030001
Extracted from PDF file 2023-missouri-form-2827.pdf, last modified October 2022

More about the Missouri Form 2827 Other TY 2023

We last updated the Power of Attorney in February 2024, so this is the latest version of Form 2827, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 2827 directly from TaxFormFinder. You can print other Missouri tax forms here.


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Other Missouri Other Forms:

TaxFormFinder has an additional 61 Missouri income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form MO-941 Employer’s Return of Income Taxes Withheld
Form 2827 Power of Attorney

Download all MO tax forms View all 62 Missouri Income Tax Forms


Form Sources:

Missouri usually releases forms for the current tax year between January and April. We last updated Missouri Form 2827 from the Department of Revenue in February 2024.

Show Sources >

Historical Past-Year Versions of Missouri Form 2827

We have a total of three past-year versions of Form 2827 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form 2827

2827 - Power of Attorney

2022 Form 2827

2827 - Power of Attorney

2021 Form 2827

Form 2827 - Power of Attorney


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Source: http://www.taxformfinder.org/missouri/form-2827