Form DRS-031 "Legislator Authorization to Discuss Tax Information" - Connecticut

What Is Form DRS-031?

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

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Connecticut Department of Revenue Services;
  • 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 printable version of Form DRS-031 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Revenue Services.

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Download Form DRS-031 "Legislator Authorization to Discuss Tax Information" - Connecticut

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D
DRS-031
epartment of
R
evenue
(Rev. 02/17)
S
ervices
Legislator Authorization to Discuss Tax Information
Use this form to authorize the Connecticut Department of Revenue Services (DRS) to discuss your tax information with Connecticut
legislators and staff. This release does not authorize DRS to disclose or otherwise provide copies of tax returns. Tax information
is confi dential and cannot be shared with anyone without express permission.
By completing this form, you authorize DRS to discuss your tax information with the legislator(s) and legislative staff you identify.
This request may be limited to certain tax information for a particular period.
1. Taxpayer Information
Taxpayer or business name
Telephone number
(
)
Mailing address
City
State
ZIP code
Email
Fax
2. Share my confi dential tax information with the legislator(s) and their staff listed below:
Legislator or legislative staff name:
_____________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________
Problem and Information to be shared:
_________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________
Please check the appropriate box below:
Any tax period.
Specifi c tax period:
to
__________________
___________________
Month/quarter and year
Month/quarter and year
3. Signature
I declare that I am the taxpayer listed above and that I authorize DRS to discuss the specifi c return information listed in section 2 hereof with the specifi c
legislator(s) and staff identifi ed above.
Taxpayer signature
Date
Print name of taxpayer
This authorization remains in effect until revoked in writing by either party but not longer than six months from the date signed.
Keep a copy for your fi les. To revoke this authorization, write “Revoke” across the front and return it to DRS as indicated in Item 4.
4. Where to send form
Fax:
860-297-5729
Mail:
Department of Revenue Services
450 Columbus Blvd Ste 1
Email:
ernest.adamo@po.state.ct.us
Hartford, CT 06103-1837
Attn: Ernest Adamo, Legislative Liaison
D
DRS-031
epartment of
R
evenue
(Rev. 02/17)
S
ervices
Legislator Authorization to Discuss Tax Information
Use this form to authorize the Connecticut Department of Revenue Services (DRS) to discuss your tax information with Connecticut
legislators and staff. This release does not authorize DRS to disclose or otherwise provide copies of tax returns. Tax information
is confi dential and cannot be shared with anyone without express permission.
By completing this form, you authorize DRS to discuss your tax information with the legislator(s) and legislative staff you identify.
This request may be limited to certain tax information for a particular period.
1. Taxpayer Information
Taxpayer or business name
Telephone number
(
)
Mailing address
City
State
ZIP code
Email
Fax
2. Share my confi dential tax information with the legislator(s) and their staff listed below:
Legislator or legislative staff name:
_____________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________
Problem and Information to be shared:
_________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________
Please check the appropriate box below:
Any tax period.
Specifi c tax period:
to
__________________
___________________
Month/quarter and year
Month/quarter and year
3. Signature
I declare that I am the taxpayer listed above and that I authorize DRS to discuss the specifi c return information listed in section 2 hereof with the specifi c
legislator(s) and staff identifi ed above.
Taxpayer signature
Date
Print name of taxpayer
This authorization remains in effect until revoked in writing by either party but not longer than six months from the date signed.
Keep a copy for your fi les. To revoke this authorization, write “Revoke” across the front and return it to DRS as indicated in Item 4.
4. Where to send form
Fax:
860-297-5729
Mail:
Department of Revenue Services
450 Columbus Blvd Ste 1
Email:
ernest.adamo@po.state.ct.us
Hartford, CT 06103-1837
Attn: Ernest Adamo, Legislative Liaison