Name of Person to Receive Return Informaon Aorney Number, Accountant Number, or PTIN
Street Address or PO Box Phone Number
Apt. or Suite Fax Number
City State ZIP Code Email Address
The person above is authorized to receive and inspect nonpublic data about the business for the following:
Business Taxpayer Name Minnesota or Federal Employer Idencaon Number (FEIN)
Street Address or PO Box Phone Number Fax Number
Apt. or Suite For combined business returns: Filing enty name (if dierent)
City State ZIP Code Filing enty FEIN/TIN
Form REV185b, Authorizaon to Release Business Tax Informaon
(Rev. 11/19)
Form REV185b Instrucons
Purpose of This Form
By signing this form, you authorize the Minnesota Department of
Revenue to release nonpublic data to the person above.
An authorized recipient may inspect or receive nonpublic data,
but may not act on your behalf. To grant additional authority,
complete Form REV184b, Business Power of Attorney.
Individuals
To authorize the department to release private data about an
individual, complete Form REV185i, Authorization to Release
Individual Tax Information.
Business Taxpayer
Informaon
RecipientSignature Type of Informaon
Type of Tax (Such as Business Income, Sales, Withholding) or Debt Issue Tax Form Name or Number (If applicable) Extended Expiraon Date
This authorizaon is not valid unl it is signed and dated by someone with legal authority to sign agreements on behalf of the business taxpayer.
I cerfy that I have the legal authority to sign this form.
Signature Date Address, If Dierent from Taxpayer
Print Name and Title Phone Number City State ZIP Code
Send a signed copy of this form to the department:
Mail: Minnesota Department of Revenue, Mail Staon 7703, 600 Robert Street North, St. Paul, MN 55146
Fax: 651-556-5210
Email: MNDOR.POA@state.mn.us
Read instrucons before compleng this form.
Your Signature
Owners or ocers: Sign, date, print your name and title, and enter your
contact information.
We reserve the right to request additional information as needed.
Expiraon
This authorization expires once the data is released. To extend the amount
of time this authorization is valid for, indicate when you want it to expire
in the Tax Type or Issue section of this form.
Quesons?
Website: www.revenue.state.mn.us
Email: MNDOR.POA@state.mn.us
Phone: 651-556-3003 or 1-800-657-3909
