Official Minnesota Form in PDF
The Minnesota form REV184a serves an important purpose for taxpayers who wish to streamline their communication with the Minnesota Department of Revenue. This form allows individuals to appoint a representative, often referred to as an attorney-in-fact, to receive all correspondence, including refunds and legal notices, related to their tax matters and nontax debts. By completing this election, taxpayers forfeit direct communication with the department, as all relevant correspondence will be directed to their appointee. The process requires careful attention; the form must be attached to the Power of Attorney (Form REV184) to be valid. If not, the department will deny the election and return the form. Additionally, taxpayers must be aware that this election has an expiration date, which can be set or will default to the revocation of the power of attorney. Proper completion of the form includes providing personal information, such as names, Social Security numbers, and addresses, as well as indicating whether this is an original election, an amendment, or a cancellation of a previous election. The form must be signed and dated to take effect, ensuring that both the taxpayer and their appointee are informed and authorized to act on behalf of the taxpayer.
Form Example
REV184a
Election for Power of Attorney
To have Appointee Receive All Correspondence from the Department of Revenue
You may elect to have the Minnesota Department of Revenue send to your power of attorney any and all refunds, legal notices, and correspondence relating to your tax matters and to your nontax debts referred to the department for collection. This election is effective only for the authority you have granted to your appointee. If you make this election, you will no longer receive anything from the
To make this election, complete and attach this form to the Power of Attorney (Form REV184) granting powers to the appointee. If Form REV184 is not attached, the department will deny your election, and the form will be returned to you.
This election will expire on the designated expiration date or when you revoke the power of attorney, whichever is earlier.
Taxpayer’s name |
Social Security or MN tax ID number (or federal ID number) |
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Spouse’s name (if a joint return) |
Spouse’s Social Security number (if a joint return) |
Print or type
Street address
City |
State |
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Zip code |
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Expiration date of election |
Month |
Day |
Year |
(If a date is not provided, this election is |
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valid until the power of attorney is revoked.) |
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Check one (see instructions):
I elect to have the Minnesota Department of Revenue directly send to the following
Election |
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Name of person (appointee) given power of attorney |
Name of firm (if applicable) |
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Street address |
City |
State |
Zip code |
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Phone number |
FAX number |
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This election is not valid until the form is signed and dated. |
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here |
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Taxpayer’s signature or signature of corporate officer, partner or fiduciary |
Print name (and title, if applicable) |
Date |
Phone |
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Sign |
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Spouse’s signature (if joint) |
Print spouse’s name (if joint) |
Date |
Phone |
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Attach this form to Form REV184 and mail to: Minnesota Revenue, Mail Station 4123, St. Paul, MN
Phone:
(Rev. 12/08)
Form Specifications
| Fact Name | Details |
|---|---|
| Form Title | REV184a Election for Power of Attorney |
| Purpose | This form allows taxpayers to authorize their appointee to receive all correspondence from the Minnesota Department of Revenue regarding tax matters and nontax debts. |
| Governing Law | The form is governed by Minnesota Statutes, Section 270C.58, which relates to powers of attorney for tax matters. |
| Effectiveness | The election becomes effective only when the form is completed, signed, and attached to the Power of Attorney (Form REV184). |
| Expiration | The election will expire on the designated date or when the power of attorney is revoked, whichever occurs first. |
| Submission | To submit, attach this form to Form REV184 and mail it to Minnesota Revenue, Mail Station 4123, St. Paul, MN 55146-4123. |
| Contact Information | For questions, call 651-296-3781 or 1-800-652-9094. TTY users can call 711 for Minnesota Relay. |
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