Free BOE-82-SA, Authorization for Electronic Transmission of Data - State-Assessed Property - California


File Size: 64.5 kB
Pages: 1
Date: November 20, 2008
File Format: PDF
State: California
Category: Tax Forms
Author: State-Assessed Properties Division
Word Count: 384 Words, 2,649 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.boe.ca.gov/pdf/boe82sa.pdf

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BOE-82-SA (12-08)

STATE OF CALIFORNIA

AUTHORIZATION FOR ELECTRONIC TRANSMISSION OF DATA--STATE-ASSESSED PROPERTY

BOARD OF EQUALIZATION

COMPANY NAME

SBE NUMBER

CONTACT'S NAME

CONTACT'S TELEPHONE NUMBER

CONTACT'S EMAIL ADDRESS

(

)

For a representative, as designated on BOE-892, Statement of Authorization, to receive electronic transmissions of data, enter an "X" in the box below. Designated representative may receive my confidential information via email Confidential information will be provided to a designated representative only if the State-Assessed Properties Division has a current BOE-892, Statement of Authorization, on file for that representative. The BOE-892, Statement of Authorization, must be filed annually. The State Board of Equalization (BOE) collects and stores confidential information about state assessees and has a responsibility under the law to protect this information from unauthorized access, use, and disclosure. Assessees may authorize the transmission of confidential information via email by providing written authorization to the BOE. If authorization is provided, the confidential information will only be sent to individuals who have a legitimate business need to view the information (assessee and/or representative.) The following statement will be included with each trans mission:

NOTICE
The information contained in this email message and the attached file(s) is private, confidential, or legally privileged. It is intended ONLY for the use of the person(s) specifically named herein as sender and recipient(s) of the communication. Any retention, display, dissemination, distribution, disclosure, publication or copying of the contents of this email and the attached file(s) by individuals other than the sender of the recipient(s) of said communication is strictly prohibited. If you have received this email message in error, please contact the BOE and immediately delete the email message and any attached file(s). Do not copy this message or the attached file(s), and do not disclose its contents to any persons other than the BOE or the intended recipient(s). Persons who copy or disclose such confidential information are subject to applicable legal penalties.

To authorize the transmission of confidential information to you and/or your representative via email, please sign this BOE-82-SA, Authorization for Electronic Transmission of Data--State-Assessed Property. This authorization will remain in effect until rescinded in writing.

SIGNATURE OF OWNER, PARTNER, OFFICER, OR AUTHORIZED AGENT

DATE SIGNED

PRINT NAME OF SIGNATORY



TELEPHONE NUMBER OF SIGNATORY

(
CLEAR
PRINT

)