Minnesota PDF Forms
Homepage → Official Minnesota Form in PDF
Navigation

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 department—including refunds—and your appointee will receive it all on your behalf.

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)

 

 

Spouse’s name (if a joint return)

Spouse’s Social Security number (if a joint return)

Print or type

Street address

City

State

 

Zip code

 

 

 

 

Expiration date of election

Month

Day

Year

(If a date is not provided, this election is

 

 

 

valid until the power of attorney is revoked.)

 

 

 

Check one (see instructions):

Original—your first election for this appointee

Amend—changes an existing elec- tion for this appointee

Cancel/Revoke—cancels a previ- ously filed election

I elect to have the Minnesota Department of Revenue directly send to the following attorney-in-fact any and all refunds, legal no- tices and correspondence relating to my tax matters and to my nontax debts referred to the department for collection. By making this election, I understand that I will no longer receive anything—including refunds and legal notices—from the department and my appointee will receive it all on my behalf.

Election

 

 

 

 

Name of person (appointee) given power of attorney

Name of firm (if applicable)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street address

City

State

Zip code

 

 

 

 

 

 

 

 

Phone number

FAX number

 

 

 

 

 

 

 

 

 

 

This election is not valid until the form is signed and dated.

 

 

 

 

 

 

 

 

here

 

 

 

 

 

 

Taxpayer’s signature or signature of corporate officer, partner or fiduciary

Print name (and title, if applicable)

Date

Phone

 

 

Sign

 

 

 

 

 

Spouse’s signature (if joint)

Print spouse’s name (if joint)

Date

Phone

 

 

 

 

 

 

 

 

Attach this form to Form REV184 and mail to: Minnesota Revenue, Mail Station 4123, St. Paul, MN 55146-4123

Phone: 651-296-3781 or 1-800-652-9094. TTY: Call 711 for Minnesota Relay

(Rev. 12/08)

➤ Minnesota File

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.
Please rate Official Minnesota Form in PDF Form
4.63
Exemplary
19 Votes

Popular PDF Templates

What Is a Counteroffer - Supports transparent real estate transactions by documenting agreed-upon changes in an official form.

The Texas Homeschool Letter of Intent form is a crucial document for families who choose to educate their children at home. This form notifies the state of Texas of the intent to homeschool, ensuring compliance with state regulations. Understanding its requirements can help streamline the homeschooling process and provide clarity for parents embarking on this educational journey. For more information, you can visit https://hsintentletter.com/texas-homeschool-letter-of-intent-form.

What Time Do Repos Happen - A government-mandated procedure for repossessors to formally claim ownership and apply for title in Minnesota.