Free 01-137 Limited Power of Attorney - Texas

File Size: 13.9 kB
Pages: 1
Date: July 12, 2005
File Format: PDF
State: Texas
Category: Tax Forms
Author: Steve Mittel
Word Count: 156 Words, 1,278 Characters
Page Size: Letter (8 1/2" x 11")

Download 01-137 Limited Power of Attorney ( 13.9 kB)

Preview 01-137 Limited Power of Attorney
STATE OF TEXAS COUNTY OF __________________

§ § §


KNOW ALL MEN BY THESE PRESENTS that I, _____________________________ (Taxpayer) of ____________________________________ (Company name), hereby make, constitute, and appoint (Taxpayer representative), as my true and lawful attorney in fact for me and in my name, place and stead; for the following purposes only: To seek a refund of Texas _________________ taxes for the periods of ____________ through . This includes the right to request and receive any documentation on file with the Comptroller of Public Accounts in order to prove my right to a refund, to amend and sign any tax return(s) originally filed during these time periods, and to receive any and all information pertaining to my refund request. Modes of communication for requesting and receiving information may include telephone, e-mail, fax or mail. Dated this ________ day of _________________ , _________ .


Relationship to Entity (i.e., President, Treasurer)

Taxpayer number

Area code/daytime phone number

Form 01-137 (Rev.3-99/2)