Form A-222 "Power of Attorney" - Wisconsin

What Is Form A-222?

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

Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the Wisconsin Department of Revenue;
  • 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 A-222 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Revenue.

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Download Form A-222 "Power of Attorney" - Wisconsin

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Important -- to ensure this form works properly,
Save
Print
Clear
save it to your computer before completing the form.
Power of Attorney
Form
A-222
Wisconsin Department
of Revenue
(Please print or type)
Part 1 – Taxpayer Information
Taxpayer’s last name or business name
Taxpayer’s first name
ID number
Spouse’s last name
Spouse’s first name
Spouse’s ID number
Current address
Daytime telephone number
(
)
-
City
State
Zip code
Email address (optional)
Part 2 – Representative(s)
If an individual(s) name is provided, authority is limited to that individual(s). If a business name is provided without specifying
an individual, authority is granted to employees of the business.
Check only one (see instructions):
Add - appoints a new or additional representative
Revoke - ends the representative named below
Business legal name
Telephone number
(
)
-
Individual’s last name
Telephone number
Individual’s first name
(
)
-
Individual’s last name
Individual’s first name
Telephone number
(
)
-
Mailing address
Fax number
(
)
-
City
State
Zip code
Email address
If revoking a representative, skip Part 3 and sign and date the form.
Part 3 – Authority Granted
I grant full authority to the representative(s) - The representative(s) named above has full authority to perform any act with
respect to matters before the department that the taxpayer(s) can and may perform, including receiving confidential Wisconsin
tax information. Note: If granting full authority, do not check any boxes on the next page.
Go to Page 2
A-222 (R. 9-19)
Important -- to ensure this form works properly,
Save
Print
Clear
save it to your computer before completing the form.
Power of Attorney
Form
A-222
Wisconsin Department
of Revenue
(Please print or type)
Part 1 – Taxpayer Information
Taxpayer’s last name or business name
Taxpayer’s first name
ID number
Spouse’s last name
Spouse’s first name
Spouse’s ID number
Current address
Daytime telephone number
(
)
-
City
State
Zip code
Email address (optional)
Part 2 – Representative(s)
If an individual(s) name is provided, authority is limited to that individual(s). If a business name is provided without specifying
an individual, authority is granted to employees of the business.
Check only one (see instructions):
Add - appoints a new or additional representative
Revoke - ends the representative named below
Business legal name
Telephone number
(
)
-
Individual’s last name
Telephone number
Individual’s first name
(
)
-
Individual’s last name
Individual’s first name
Telephone number
(
)
-
Mailing address
Fax number
(
)
-
City
State
Zip code
Email address
If revoking a representative, skip Part 3 and sign and date the form.
Part 3 – Authority Granted
I grant full authority to the representative(s) - The representative(s) named above has full authority to perform any act with
respect to matters before the department that the taxpayer(s) can and may perform, including receiving confidential Wisconsin
tax information. Note: If granting full authority, do not check any boxes on the next page.
Go to Page 2
A-222 (R. 9-19)
Form A-222
Page 2 of 2
Taxpayer Name
ID Number
Part 3 – Authority Granted (continued)
I grant limited authority to the representative(s) - (check only items below for which you are granting authority.) The
representative(s) named above has authority to perform any act, with respect to the items checked below, that the taxpayer(s)
can and may perform, including the authority to receive confidential Wisconsin tax information.
Limited Authority
Period(s) (optional)
Limited Authority
Period(s) (optional)
Income or Franchise Taxes
Employer Withholding Taxes
Sales and Use Taxes
Pass-Through Withholding
Taxes
Excise Taxes
Nontax Debt
Property Taxes
Other
(describe below)
Part 4 – Signature of Taxpayer(s)
I understand that the execution of this Power of Attorney does not relieve me of personal responsibility for correctly and timely
reporting and paying taxes, or from the penalties, fees, or interest for failure to do so, all as provided for under Wisconsin tax
law. I understand a photocopy, faxed copy, and/or electronic copy of this form has the same authority as the signed original.
If signed by a corporate officer, general partner, managing member, 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.
Signature
Title
Date
Signature
Title
Date
Note: All notices that are automatically generated by the department’s computer system will be sent only to the taxpayer. If the
representative needs copies of these notices, the representative must request a copy each time a notice is issued if it cannot be
accessed in My Tax Account as an approved third party.
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