Tax Agent Nomination Form
Use this Tax Agent Nomination Form to nominate an authorized tax agent to handle your tax-related correspondence and representation. Please complete all required fields.
Nominee's Full Name
*
First Name
Last Name
Business or Agency Name
*
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Tax Identification Reference (Non-sensitive Format, e.g., Client Reference Number or Account Code)
Scope of Services Authorized
*
Effective Period (Specify start and end dates or period description)
*
Relevant Tax Office or Jurisdiction
*
Authorization Details (Describe any specific authority granted to the nominee)
Submit
Should be Empty: