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Vermont Free Printable  for 2021 Vermont Special Power of Attorney for use by Individuals, Businesses, Estates and Trusts

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Special Power of Attorney for use by Individuals, Businesses, Estates and Trusts
Form PA-1

Vermont Department of Taxes, 133 State Street, Montpelier, VT 05633-1401 Special Power of Attorney for use by Individuals, Businesses, Estates and Trusts (joint filers must each file a Power of Attorney form) Form PA-1 TAXPAYER 1. Name of Taxpayer (Principal) 2. Social Security Number or Address of Taxpayer Federal ID Number or (if applicable) State ID Number AGENT 3. Name of Agent 4. Telephone Number of Agent 5. Address of Agent 6. The Taxpayer hereby appoints the above-named person as agent for the Taxpayer and authorizes said agent to perform the following acts on behalf of the Taxpayer: (Check all applicable boxes)  Receive the Taxpayer’s tax returns and information regarding Taxpayer’s returns which have been filed with the Department of Taxes  Represent the Taxpayer in discussions and at informal conferences with Vermont Department of Taxes personnel regarding the Taxpayer’s tax returns and/or liabilities  Negotiate the assessment and payment of tax liabilities  Represent the Taxpayer in appeals before the Commissioner of Taxes at a formal hearing if the agent is an attorney or CPA licensed to practice in the State of Vermont.  Prepare and file Vermont state tax returns  Perform any legal act on the Taxpayer’s behalf with respect to the taxes and tax periods identified below 7. This power of attorney is effective for the following taxes and tax periods: 8. Special skills or expertise of Agent (i.e., CPA, RPA, Tax Preparer, Attorney-at-Law). If none, write “None”. 9. All prior powers of attorney on file with the Department of Taxes are herby revoked except: SIGNATURE 10. Signature of Individual Taxpayer on Line 1 11. Signature of person authorized to sign for Entity Taxpayer Date Date 12. Printed name and title of person signing POA for Entity Taxpayer ATTESTATION OF AGENT I hereby attest that: • I accept appointment as agent for the Taxpayer; • I understand my duties under this Power of Attorney and under law; • I understand that I am expected to use the skills and expertise identified above on behalf of the Taxpayer. 13. Signature of Agent (person on Line 3) Date Form PA-1 Rev. 09/13 INSTRUCTIONS FOR COMPLETING VERMONT DEPARTMENT OF TAXES SPECIAL POWER OF ATTORNEY (POA). • This form may be used by individuals, businesses, estates and trusts. Joint income tax filers must each complete and file a power of attorney form. • All POA forms submitted to the Department of Taxes must comply with the requirements of chapter 123 of Title 14, except that signatures of a witness and notary are not required. • POA forms must be signed by the agent. THE DEPARTMENT OF TAXES WILL NOT ACCEPT A POA UNLESS SIGNED BY THE AGENT. • By signing, an agent attests that he/she accepts appointment as agent and understands the duties of agent, both under the POA and under the law. In addition, if special skills or expertise of the agent are identifed, the agent must attest that he/ she understands that he/she is expected to use those skills and expertise on behalf of the Taxpayer. LINE-BY-LINE INSTRUCTIONS FOR SPECIAL POA 1. Print the name and address of the Taxpayer. 2. Enter the Social Security Number of an individual Taxpayer or Federal ID Number or (if applicable) State ID Number of an entity Taxpayer. 3. Print the name of the Agent. 4. Print the telephone number of the Agent. 5. Print the address of the Agent. 6. Check applicable boxes if you are authorized to prepare and file Vermont state tax returns, the returns must still be signed by the taxpayer. 7. List specific tax types (i.e., “income tax”) and tax periods (i.e., “2002”) for which Agent is authorized to act on your behalf. If all taxes and tax periods, write “ALL”. 8. Identify any special skills or expertise of Agent which will be exercised by agent on behalf of Taxpayer, such as CPA, RPA, tax preparer, attorney-at-law. If none, write “NONE”. 9. List any prior Powers of Attorney on file with the Department of Taxes which are NOT revoked. 10. Signature of person on Line 1 if an individual Taxpayer. 11. Signature of person signing for an entity Taxpayer. 12. Print the name and title of person signing for an entity taxpayer. 13. Signature of Agent and date agent signed.
Extracted from PDF file 2020-vermont-form-pa-1.pdf, last modified October 2013

More about the Vermont Form PA-1 Other TY 2020

We last updated the Special Power of Attorney for use by Individuals, Businesses, Estates and Trusts in February 2021, so this is the latest version of Form PA-1, fully updated for tax year 2020. You can download or print current or past-year PDFs of Form PA-1 directly from TaxFormFinder. You can print other Vermont tax forms here.

Other Vermont Other Forms:

TaxFormFinder has an additional 51 Vermont income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form HS-122, HI-144 Homestead Declaration AND Property Tax Adjustment Claim
Form PR-141, HI-144 Renter Rebate Claim
Form LC-142 Landlord Certificate (Form LC-142)
Form HS-122W Vermont Homestead Declaration and/or Property Tax Adjustment Withdrawal
Form 8821-VT Authorization To Release Tax Information

Download all VT tax forms View all 52 Vermont Income Tax Forms


Form Sources:

Vermont usually releases forms for the current tax year between January and April. We last updated Vermont Form PA-1 from the Department of Taxes in February 2021.

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Historical Past-Year Versions of Vermont Form PA-1

We have a total of eight past-year versions of Form PA-1 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



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