Form TC-737 "Power of Attorney and Declaration of Representative" - Utah

What Is Form TC-737?

This is a legal form that was released by the Utah State Tax Commission - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Utah State Tax Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TC-737 by clicking the link below or browse more documents and templates provided by the Utah State Tax Commission.

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Download Form TC-737 "Power of Attorney and Declaration of Representative" - Utah

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Utah State Tax Commission
TC-737
210 N 1950 W, SLC, UT 84134 • tax.utah.gov • 801-297-2200 • fax: 801-297-3573
Rev. 1/21
Power of Attorney and Declaration of Representative
1. Taxpayer Information
(Provide information for only one taxpayer per form)
Name
Identification number(s)
Address
Daytime telephone number(s) Fax number
City
State
ZIP Code
Email address
2. Representative(s)
I hereby appoint the following representative(s) as attorney(s)-in-fact: (attach additional pages if needed)
Name and address
Telephone:
Fax number:
Email:
Name and address
Telephone:
Fax number:
Email:
3. Tax matter(s)
This declaration authorizes the representative(s) to receive and inspect my confidential tax information and, to the extent not limited in
section 4 below, to perform any acts that I can with respect to the tax matter(s) listed below in this section. This power does not include
the power to receive funds, substitute or appoint another representative, or disclose confidential tax information to other parties.
Tax Type
Social Security/Account Number
Year(s) or Period(s)
Appeal Number(s)
_ _ __ _ __
_ _ _ __ ___ ___ __ ___ _
__________
_______________ __ __ _
_ _ __ _ __
_ _ _ __ ___ ___ __ ___ _
__________
_______________ __ __ _
_ _ __ _ __
_ _ _ __ ___ ___ __ ___ _
__________
_______________ __ __ _
4. Acts NOT Authorized
(Check only the boxes of those acts for which authority is NOT given)
My representative(s) is NOT authorized to perform the following acts which would otherwise be authorized:
 Sign returns
 Amend returns
 Negotiate agreements
 Sign agreements/consents/similar documents
 Reallocate payments between tax types/periods
 Represent me in adjudicative proceedings before the Commission
 Facilitate audits
 Other: ___ __ ___ _________________________________ _ __ __ _
5. Authorized Signature
Unless you check the box below, filing this power-of-attorney will revoke all earlier power(s)-of-attorney on file with the Tax Commission
for the same matters and years/periods covered in this document.
 Check this box if you do not wish to revoke all prior power(s)-of-attorney.
_ ___ __ _ __ _ _ __ _ ___ ___ __ ___ ____
__________________
________ __ __ _ _
Taxpayer signature
Print name
Date
If signed by a corporate officer, partner or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this
power-of-attorney on behalf of the taxpayer.
_ ___ __ _ __ _ _ __ _ ___ ___ __ ___ ____
__________________
________ __ __ _ _
Representative signature
Title
Date
Clear form
Utah State Tax Commission
TC-737
210 N 1950 W, SLC, UT 84134 • tax.utah.gov • 801-297-2200 • fax: 801-297-3573
Rev. 1/21
Power of Attorney and Declaration of Representative
1. Taxpayer Information
(Provide information for only one taxpayer per form)
Name
Identification number(s)
Address
Daytime telephone number(s) Fax number
City
State
ZIP Code
Email address
2. Representative(s)
I hereby appoint the following representative(s) as attorney(s)-in-fact: (attach additional pages if needed)
Name and address
Telephone:
Fax number:
Email:
Name and address
Telephone:
Fax number:
Email:
3. Tax matter(s)
This declaration authorizes the representative(s) to receive and inspect my confidential tax information and, to the extent not limited in
section 4 below, to perform any acts that I can with respect to the tax matter(s) listed below in this section. This power does not include
the power to receive funds, substitute or appoint another representative, or disclose confidential tax information to other parties.
Tax Type
Social Security/Account Number
Year(s) or Period(s)
Appeal Number(s)
_ _ __ _ __
_ _ _ __ ___ ___ __ ___ _
__________
_______________ __ __ _
_ _ __ _ __
_ _ _ __ ___ ___ __ ___ _
__________
_______________ __ __ _
_ _ __ _ __
_ _ _ __ ___ ___ __ ___ _
__________
_______________ __ __ _
4. Acts NOT Authorized
(Check only the boxes of those acts for which authority is NOT given)
My representative(s) is NOT authorized to perform the following acts which would otherwise be authorized:
 Sign returns
 Amend returns
 Negotiate agreements
 Sign agreements/consents/similar documents
 Reallocate payments between tax types/periods
 Represent me in adjudicative proceedings before the Commission
 Facilitate audits
 Other: ___ __ ___ _________________________________ _ __ __ _
5. Authorized Signature
Unless you check the box below, filing this power-of-attorney will revoke all earlier power(s)-of-attorney on file with the Tax Commission
for the same matters and years/periods covered in this document.
 Check this box if you do not wish to revoke all prior power(s)-of-attorney.
_ ___ __ _ __ _ _ __ _ ___ ___ __ ___ ____
__________________
________ __ __ _ _
Taxpayer signature
Print name
Date
If signed by a corporate officer, partner or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this
power-of-attorney on behalf of the taxpayer.
_ ___ __ _ __ _ _ __ _ ___ ___ __ ___ ____
__________________
________ __ __ _ _
Representative signature
Title
Date