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ARIZONA FORM 285-SBI Disclosure Authorization Form (Irrevocable*) Small Business Investments Credit ARIZONA DEPARTMENT OF REVENUE This form authorizes the Department to release conf dential information of the taxpayer(s) named below to the appointee(s) named below for the tax type(s) speci f ed below. This form is NOT A POWER OF ATTORNEY and DOES NOT grant the appointee(s) any powers of representation. 1. TAXPAYER INFORMATION - Please print or type. TAXPAYER NAME(S) PRESENT ADDRESS - number and street, rural route, apartment/suite no MoreSTATE ZIP CODE. Phoenix. AZ. 85004. DAYTIME TELEPHONE NUMBER. (602) 845-1200. 3. TAX MATTERS. The appointee is authorized to receive conf ... Less
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