SlideShare a Scribd company logo
1 of 2
Download to read offline
Reset Form
Michigan Department of Treasury and Unemployment Insurance Agency (UIA)
151 (Rev. 9-08)

Power of Attorney
Issued under authority of the Revenue Act and the Michigan Employment Security (MES) Act.
Complete this form if you wish to appoint someone to represent you to the State of Michigan on tax, benefit or debt matters, or if you
wish to revoke or change your current Power of Attorney representation. Read the instructions on page 2 before completing this form.

PART 1: TAXPAYER INFORMATION
Taxpayer Name and Address (include spouse's name if joint return)               If a business, enter DBA, trade or assumed name.


                                                                               Telephone Number (Required)                  Fax Number


                                                                               FEIN or Treasury Account No.                 UIA Account No.


                                                                               Taxpayer SSN          Spouse SSN             E-mail Address (if applicable)



PART 2: REPRESENTATIVE INFORMATION AND AUTHORIZATION DATES
Your authorized representative may be an organization, firm, or individual. If your representative is not an individual, designate a contact person.
Submit a separate form for each representative.
Representative Name and Address                                  Contact Name (if applicable)                               E-mail Address (if applicable)


                                                                 Telephone Number (Required)                                Fax Number


                                                                 Beginning Authorization Date - If applicable (mm/dd/yyyy) Ending Authorization Date - If applicable
                                                                                                                           (mm/dd/yyyy) *


PART 3: TYPE OF AUTHORIZATION
     GENERAL AUTHORIZATION - Granted to:                       Treasury               UIA** Check one or both of these boxes.
      Authorizes my representative to: (1) inspect or receive confidential information, (2) represent me and make oral or written presentations of fact
      and/or argument, (3) sign returns, (4) enter into agreements, and (5) receive mail from Treasury or UIA (includes forms, billings, and notices).
      This authorization applies to all tax/non-tax matters and for all years or periods.
                                                                                                                Section A - Treasury               Section B - UIA**
     LIMITED AUTHORIZATION                                                                                        All         Only as              All         Only as
                                                                                                              Tax/Nontax     Specified         Tax/Nontax     Specified
     Select the type of authorization by checking the appropriate boxes in
                                                                                                                Matters        Below             Matters        Below
     Section A and Section B.
     1. Inspect or receive confidential information
     2. Represent me and make oral or written presentation of fact or argument
     3. Sign returns
     4. Enter into agreements
     5. Receive mail from Treasury or UIA (includes forms, billings and notices)

  Tax Type (Income, Unemployment, Sales, Student Loan, etc.)         Form Type (MI-1040, UIA 1020, 1020-R, 1017, etc.) or Assessment No.         Year(s) or Period(s)




PART 4: CHANGE IN POWER OF ATTORNEY
                                                                                                                                                     Treasury           UIA**
     CHANGE IN POWER OF ATTORNEY REPRESENTATION: This form replaces all earlier Powers of Attorney,
     except those attached, on file for the same tax/non-tax matters and years or periods covered by this Power of Attorney.
     REVOKE PREVIOUS AUTHORIZATION: I revoke all Powers of Attorney submitted and will represent myself in all
     tax matters.

PART 5: TAXPAYER'S SIGNATURE (REQUIRED)
If signed by a corporate officer, partner or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this Power of Attorney.
Signature                                                                    Name and Title, Printed or Typed (Required)                   Date (Required)


Spouse's Signature                                                           Name and Title, Printed or Typed (Required)                   Date (Required)


* If no Ending Authorization Date is provided, the above-named representative will be authorized to represent you until you notify the Michigan Department of Treasury or
   Unemployment Insurance Agency (UIA) in writing that this Power of Attorney is revoked.
** Unemployment Insurance Agency is abbreviated throughout this form as UIA.
Instructions for Power of Attorney (Form 151)
Complete and file a Power of Attorney (Form 151) if you wish to appoint an individual, firm, or organization as your representative in tax
or debt matters before the State of Michigan. Failure to complete this form will prohibit Treasury or the Unemployment Insurance
Agency (UIA) from discussing your tax return information with another person or releasing your tax return to another person.


                                                                       PART 5: TAXPAYER SIGNATURE
PART 1: TAXPAYER INFORMATION
                                                                       You and your spouse, if a joint return, must sign and date the form.
Enter the taxpayer’s name, address, telephone number, fax number,
and e-mail address. If the taxpayer is a business operating under
                                                                       FILING
another name, enter the DBA, trade or assumed name. Enter the
                                                                       If you are an individual taxpayer (not representing a business),
Social Security number(s), federal employer identification number
                                                                       mail or fax this form to:
(FEIN) or other account number, whichever applies. Also enter
                                                                                Customer Contact Center
the UIA Account Number if this Power of Attorney applies to any
                                                                                Individual Correspondence Section
state unemployment insurance tax matters. If spouses are
                                                                                Michigan Department of Treasury
designating the same representative, enter the spouse’s name,
                                                                                P.O. Box 30757
address (if different) and Social Security number.
                                                                                Lansing, MI 48909
PART 2: REPRESENTATIVE INFORMATION                                              Fax: (517) 636-4488
AND AUTHORIZATION DATES
You must submit a separate form for each representative. Enter
                                                                       If the Michigan Accounts Receivable Collection System (MARCS)
the authorized representative’s telephone number, fax number,
                                                                       has requested you to file this form, mail or fax your completed
and e-mail address. If your representative is not an individual,
                                                                       form and any attachments to:
designate a contact person. Indicate the beginning and ending
dates of authorization.                                                         MARCS
                                                                                P.O. Box 30158
PART 3: TYPE OF AUTHORIZATION
                                                                                Lansing, MI 48909-7658
Check the General Authorization box to allow your representative                Fax: (517) 272-5562
to act on your behalf to do all of the following: (1) inspect and
receive confidential information, (2) represent you and make oral
                                                                       If a district office representative has requested you to file this
or written presentations of fact and/or argument, (3) sign returns,
                                                                       form, mail or fax it to that representative.
(4) enter into agreements, and (5) receive all (includes forms,
billings, and payment notices). This authorization applies to all
                                                                       If the Treasury Collection Division has requested you to file this
tax/non-tax matters and for all years or periods.
                                                                       form, mail or fax it to:
You may restrict your representative’s authorization to act on
                                                                                Collection Division
your behalf by checking the Limited Authorization box, and
                                                                                Michigan Department of Treasury
checking the appropriate boxes in Section A and/or B. To limit
                                                                                P.O. Box 30199
the authorization for specific tax matters, check the appropriate
                                                                                Lansing, MI 48909
“Only as Specified Below” boxes, and indicate the type of tax,
                                                                                Fax: (517) 636-5245
type of form, and years/periods for which you are granting
authorization in the space provided.                                   If UIA has asked you to file this form, mail or fax it to:
Check this box if your representative is authorized to:                         UIA Tax Office
1. Inspect or receive confidential information.                                 P.O. Box 8068
2. Represent you and make oral or written presentation of fact                  Royal Oak, MI 48068-8068
   or argument.                                                                 Fax: (313) 456-2130 (for UIA only)
3. Sign tax returns.
                                                                       All others, mail or fax this form to the Registration Section.
4. Enter into agreements (such as payment plans).
                                                                       Treasury will forward your form to UIA.
5. Receive mail.
                                                                                Customer Contact Center
PART 4: CHANGE IN POWER OF ATTORNEY
                                                                                Registration Section
Unless otherwise specified, this Power of Attorney replaces or                  Michigan Department of Treasury
revokes any previous Power of Attorney on file with the Michigan                P.O. Box 30778
Department of Treasury or the Unemployment Insurance Agency                     Lansing, MI 48909-8278
for the same tax matters identified on this form.                               Fax: (517) 636-4520
You must identify any previous authorizations that are to remain
in effect, and attach a copy of the authorizations to this form when
filed.

More Related Content

What's hot (14)

W9 Form
W9 FormW9 Form
W9 Form
 
Summary of Combined Net Income
 	 Summary of Combined Net Income 	 Summary of Combined Net Income
Summary of Combined Net Income
 
Copy of w 9 withinstructions.pdf
Copy of w 9 withinstructions.pdfCopy of w 9 withinstructions.pdf
Copy of w 9 withinstructions.pdf
 
Form 8379-Injured Spouse Claim and Allocation
Form 8379-Injured Spouse Claim and AllocationForm 8379-Injured Spouse Claim and Allocation
Form 8379-Injured Spouse Claim and Allocation
 
egov.oregon.gov DOR PERTAX 800-005
egov.oregon.gov DOR PERTAX  800-005egov.oregon.gov DOR PERTAX  800-005
egov.oregon.gov DOR PERTAX 800-005
 
Form w9
Form w9Form w9
Form w9
 
W9 Taxes
W9 TaxesW9 Taxes
W9 Taxes
 
Fw9
Fw9Fw9
Fw9
 
Fw9
Fw9Fw9
Fw9
 
fw4 2009
fw4 2009fw4 2009
fw4 2009
 
Instructions
InstructionsInstructions
Instructions
 
W 9 Form
W 9 FormW 9 Form
W 9 Form
 
sims218
sims218sims218
sims218
 
sims221
sims221sims221
sims221
 

Viewers also liked

Clase3 soporte de la informacion1
Clase3 soporte de la informacion1Clase3 soporte de la informacion1
Clase3 soporte de la informacion1rudy_cs9
 
10 febrero manual SIPI
10 febrero  manual SIPI10 febrero  manual SIPI
10 febrero manual SIPIAdrian Ramirez
 
An empirical study of predispute mandatory arbitration clauses in social medi...
An empirical study of predispute mandatory arbitration clauses in social medi...An empirical study of predispute mandatory arbitration clauses in social medi...
An empirical study of predispute mandatory arbitration clauses in social medi...C C
 
BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47
BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47
BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47sifexol
 
University of Santiago de Compostela, Faculty of Business Administration of L...
University of Santiago de Compostela, Faculty of Business Administration of L...University of Santiago de Compostela, Faculty of Business Administration of L...
University of Santiago de Compostela, Faculty of Business Administration of L...lugago
 
Proceso productivo del gorro de lana
Proceso productivo del gorro de lanaProceso productivo del gorro de lana
Proceso productivo del gorro de lanaConstaanzaa
 
METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...
METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...
METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...Marcial Pons Argentina
 
Fibra optica.. marcela diapositivas
Fibra optica.. marcela diapositivasFibra optica.. marcela diapositivas
Fibra optica.. marcela diapositivascococoP
 
Revolución Rusa - 1917
Revolución Rusa - 1917Revolución Rusa - 1917
Revolución Rusa - 1917guest69230a
 
Pavan SAP FICO resume
Pavan SAP FICO resumePavan SAP FICO resume
Pavan SAP FICO resumePAVAN RAO
 
Network Effects
Network EffectsNetwork Effects
Network Effectsa16z
 

Viewers also liked (14)

Adirtha steel furniture
Adirtha steel furnitureAdirtha steel furniture
Adirtha steel furniture
 
Clase3 soporte de la informacion1
Clase3 soporte de la informacion1Clase3 soporte de la informacion1
Clase3 soporte de la informacion1
 
10 febrero manual SIPI
10 febrero  manual SIPI10 febrero  manual SIPI
10 febrero manual SIPI
 
An empirical study of predispute mandatory arbitration clauses in social medi...
An empirical study of predispute mandatory arbitration clauses in social medi...An empirical study of predispute mandatory arbitration clauses in social medi...
An empirical study of predispute mandatory arbitration clauses in social medi...
 
BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47
BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47
BIBLIA CATOLICA, ANTIGUO TESTAMENTO, MACABEOS, PARTE 17 DE 47
 
.
..
.
 
University of Santiago de Compostela, Faculty of Business Administration of L...
University of Santiago de Compostela, Faculty of Business Administration of L...University of Santiago de Compostela, Faculty of Business Administration of L...
University of Santiago de Compostela, Faculty of Business Administration of L...
 
Clase 1 CONCEPTOS
Clase 1 CONCEPTOSClase 1 CONCEPTOS
Clase 1 CONCEPTOS
 
Proceso productivo del gorro de lana
Proceso productivo del gorro de lanaProceso productivo del gorro de lana
Proceso productivo del gorro de lana
 
METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...
METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...
METODOLOGÍA DEL DERECHO ADMINISTRATIVO. José María Rodríguez De Santiago. ISB...
 
Fibra optica.. marcela diapositivas
Fibra optica.. marcela diapositivasFibra optica.. marcela diapositivas
Fibra optica.. marcela diapositivas
 
Revolución Rusa - 1917
Revolución Rusa - 1917Revolución Rusa - 1917
Revolución Rusa - 1917
 
Pavan SAP FICO resume
Pavan SAP FICO resumePavan SAP FICO resume
Pavan SAP FICO resume
 
Network Effects
Network EffectsNetwork Effects
Network Effects
 

Similar to 151f_2765_7 michigan.gov documents taxes

Similar to 151f_2765_7 michigan.gov documents taxes (20)

REV185 taxes.state.mn.us
REV185 taxes.state.mn.usREV185 taxes.state.mn.us
REV185 taxes.state.mn.us
 
Form A-222
Form A-222Form A-222
Form A-222
 
tax.utah.gov forms current tc tc-98
tax.utah.gov forms current tc  tc-98tax.utah.gov forms current tc  tc-98
tax.utah.gov forms current tc tc-98
 
Ariana berry w-9
Ariana berry w-9Ariana berry w-9
Ariana berry w-9
 
W 9 Form
W 9 FormW 9 Form
W 9 Form
 
sims190
sims190sims190
sims190
 
Fw9
Fw9Fw9
Fw9
 
Fw9
Fw9Fw9
Fw9
 
Fw9
Fw9Fw9
Fw9
 
F1023
F1023F1023
F1023
 
Form PW-2
Form PW-2 Form PW-2
Form PW-2
 
W 9
W 9W 9
W 9
 
sims200
sims200sims200
sims200
 
Abeline
AbelineAbeline
Abeline
 
Fill-In Form
Fill-In FormFill-In Form
Fill-In Form
 
sims249
sims249sims249
sims249
 
Powerpamphlet
PowerpamphletPowerpamphlet
Powerpamphlet
 
sims193
sims193sims193
sims193
 
sims223
sims223sims223
sims223
 
sims224
sims224sims224
sims224
 

More from taxman taxman

ftb.ca.gov forms 09_3528a
ftb.ca.gov forms 09_3528aftb.ca.gov forms 09_3528a
ftb.ca.gov forms 09_3528ataxman taxman
 
ftb.ca.gov forms 09_593bk
ftb.ca.gov forms 09_593bkftb.ca.gov forms 09_593bk
ftb.ca.gov forms 09_593bktaxman taxman
 
ftb.ca.gov forms 09_593v
ftb.ca.gov forms 09_593vftb.ca.gov forms 09_593v
ftb.ca.gov forms 09_593vtaxman taxman
 
ftb.ca.gov forms 09_593i
ftb.ca.gov forms 09_593iftb.ca.gov forms 09_593i
ftb.ca.gov forms 09_593itaxman taxman
 
ftb.ca.gov forms 09_593c
ftb.ca.gov forms 09_593cftb.ca.gov forms 09_593c
ftb.ca.gov forms 09_593ctaxman taxman
 
ftb.ca.gov forms 09_593
ftb.ca.gov forms 09_593ftb.ca.gov forms 09_593
ftb.ca.gov forms 09_593taxman taxman
 
ftb.ca.gov forms 09_592v
ftb.ca.gov forms 09_592vftb.ca.gov forms 09_592v
ftb.ca.gov forms 09_592vtaxman taxman
 
ftb.ca.gov forms 09_592b
ftb.ca.gov forms 09_592bftb.ca.gov forms 09_592b
ftb.ca.gov forms 09_592btaxman taxman
 
ftb.ca.gov forms 09_592a
ftb.ca.gov forms 09_592aftb.ca.gov forms 09_592a
ftb.ca.gov forms 09_592ataxman taxman
 
ftb.ca.gov forms 09_592
ftb.ca.gov forms 09_592ftb.ca.gov forms 09_592
ftb.ca.gov forms 09_592taxman taxman
 
ftb.ca.gov forms 09_590p
ftb.ca.gov forms 09_590pftb.ca.gov forms 09_590p
ftb.ca.gov forms 09_590ptaxman taxman
 
ftb.ca.gov forms 09_590
ftb.ca.gov forms 09_590ftb.ca.gov forms 09_590
ftb.ca.gov forms 09_590taxman taxman
 
ftb.ca.gov forms 09_588
ftb.ca.gov forms 09_588ftb.ca.gov forms 09_588
ftb.ca.gov forms 09_588taxman taxman
 
ftb.ca.gov forms 09_587
ftb.ca.gov forms 09_587ftb.ca.gov forms 09_587
ftb.ca.gov forms 09_587taxman taxman
 
ftb.ca.gov forms 09_570
ftb.ca.gov forms 09_570ftb.ca.gov forms 09_570
ftb.ca.gov forms 09_570taxman taxman
 
ftb.ca.gov forms 09_541es
ftb.ca.gov forms 09_541esftb.ca.gov forms 09_541es
ftb.ca.gov forms 09_541estaxman taxman
 
ftb.ca.gov forms 09_540esins
ftb.ca.gov forms 09_540esinsftb.ca.gov forms 09_540esins
ftb.ca.gov forms 09_540esinstaxman taxman
 
ftb.ca.gov forms 09_540es
ftb.ca.gov forms 09_540esftb.ca.gov forms 09_540es
ftb.ca.gov forms 09_540estaxman taxman
 
ftb.ca.gov forms 1240
ftb.ca.gov forms 1240ftb.ca.gov forms 1240
ftb.ca.gov forms 1240taxman taxman
 
ftb.ca.gov forms 1015B
ftb.ca.gov forms  1015Bftb.ca.gov forms  1015B
ftb.ca.gov forms 1015Btaxman taxman
 

More from taxman taxman (20)

ftb.ca.gov forms 09_3528a
ftb.ca.gov forms 09_3528aftb.ca.gov forms 09_3528a
ftb.ca.gov forms 09_3528a
 
ftb.ca.gov forms 09_593bk
ftb.ca.gov forms 09_593bkftb.ca.gov forms 09_593bk
ftb.ca.gov forms 09_593bk
 
ftb.ca.gov forms 09_593v
ftb.ca.gov forms 09_593vftb.ca.gov forms 09_593v
ftb.ca.gov forms 09_593v
 
ftb.ca.gov forms 09_593i
ftb.ca.gov forms 09_593iftb.ca.gov forms 09_593i
ftb.ca.gov forms 09_593i
 
ftb.ca.gov forms 09_593c
ftb.ca.gov forms 09_593cftb.ca.gov forms 09_593c
ftb.ca.gov forms 09_593c
 
ftb.ca.gov forms 09_593
ftb.ca.gov forms 09_593ftb.ca.gov forms 09_593
ftb.ca.gov forms 09_593
 
ftb.ca.gov forms 09_592v
ftb.ca.gov forms 09_592vftb.ca.gov forms 09_592v
ftb.ca.gov forms 09_592v
 
ftb.ca.gov forms 09_592b
ftb.ca.gov forms 09_592bftb.ca.gov forms 09_592b
ftb.ca.gov forms 09_592b
 
ftb.ca.gov forms 09_592a
ftb.ca.gov forms 09_592aftb.ca.gov forms 09_592a
ftb.ca.gov forms 09_592a
 
ftb.ca.gov forms 09_592
ftb.ca.gov forms 09_592ftb.ca.gov forms 09_592
ftb.ca.gov forms 09_592
 
ftb.ca.gov forms 09_590p
ftb.ca.gov forms 09_590pftb.ca.gov forms 09_590p
ftb.ca.gov forms 09_590p
 
ftb.ca.gov forms 09_590
ftb.ca.gov forms 09_590ftb.ca.gov forms 09_590
ftb.ca.gov forms 09_590
 
ftb.ca.gov forms 09_588
ftb.ca.gov forms 09_588ftb.ca.gov forms 09_588
ftb.ca.gov forms 09_588
 
ftb.ca.gov forms 09_587
ftb.ca.gov forms 09_587ftb.ca.gov forms 09_587
ftb.ca.gov forms 09_587
 
ftb.ca.gov forms 09_570
ftb.ca.gov forms 09_570ftb.ca.gov forms 09_570
ftb.ca.gov forms 09_570
 
ftb.ca.gov forms 09_541es
ftb.ca.gov forms 09_541esftb.ca.gov forms 09_541es
ftb.ca.gov forms 09_541es
 
ftb.ca.gov forms 09_540esins
ftb.ca.gov forms 09_540esinsftb.ca.gov forms 09_540esins
ftb.ca.gov forms 09_540esins
 
ftb.ca.gov forms 09_540es
ftb.ca.gov forms 09_540esftb.ca.gov forms 09_540es
ftb.ca.gov forms 09_540es
 
ftb.ca.gov forms 1240
ftb.ca.gov forms 1240ftb.ca.gov forms 1240
ftb.ca.gov forms 1240
 
ftb.ca.gov forms 1015B
ftb.ca.gov forms  1015Bftb.ca.gov forms  1015B
ftb.ca.gov forms 1015B
 

Recently uploaded

Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangaloreamitlee9823
 
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort ServiceEluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort ServiceDamini Dixit
 
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...Anamikakaur10
 
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 MonthsSEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 MonthsIndeedSEO
 
Phases of Negotiation .pptx
 Phases of Negotiation .pptx Phases of Negotiation .pptx
Phases of Negotiation .pptxnandhinijagan9867
 
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service NoidaCall Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service Noidadlhescort
 
JAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
JAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRLJAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
JAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRLkapoorjyoti4444
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756dollysharma2066
 
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort ServiceMalegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort ServiceDamini Dixit
 
It will be International Nurses' Day on 12 May
It will be International Nurses' Day on 12 MayIt will be International Nurses' Day on 12 May
It will be International Nurses' Day on 12 MayNZSG
 
Falcon Invoice Discounting: The best investment platform in india for investors
Falcon Invoice Discounting: The best investment platform in india for investorsFalcon Invoice Discounting: The best investment platform in india for investors
Falcon Invoice Discounting: The best investment platform in india for investorsFalcon Invoice Discounting
 
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876dlhescort
 
Famous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st CenturyFamous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st Centuryrwgiffor
 
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesMysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesDipal Arora
 
Organizational Transformation Lead with Culture
Organizational Transformation Lead with CultureOrganizational Transformation Lead with Culture
Organizational Transformation Lead with CultureSeta Wicaksana
 
Falcon Invoice Discounting: Empowering Your Business Growth
Falcon Invoice Discounting: Empowering Your Business GrowthFalcon Invoice Discounting: Empowering Your Business Growth
Falcon Invoice Discounting: Empowering Your Business GrowthFalcon investment
 
Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000
Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000
Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000dlhescort
 
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...Sheetaleventcompany
 

Recently uploaded (20)

Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service BangaloreCall Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
Call Girls Hebbal Just Call 👗 7737669865 👗 Top Class Call Girl Service Bangalore
 
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort ServiceEluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
 
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
Call Now ☎️🔝 9332606886🔝 Call Girls ❤ Service In Bhilwara Female Escorts Serv...
 
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 MonthsSEO Case Study: How I Increased SEO Traffic & Ranking by 50-60%  in 6 Months
SEO Case Study: How I Increased SEO Traffic & Ranking by 50-60% in 6 Months
 
Phases of Negotiation .pptx
 Phases of Negotiation .pptx Phases of Negotiation .pptx
Phases of Negotiation .pptx
 
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service NoidaCall Girls In Noida 959961⊹3876 Independent Escort Service Noida
Call Girls In Noida 959961⊹3876 Independent Escort Service Noida
 
JAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
JAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRLJAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
JAYNAGAR CALL GIRL IN 98274*61493 ❤CALL GIRLS IN ESCORT SERVICE❤CALL GIRL
 
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
FULL ENJOY Call Girls In Majnu Ka Tilla, Delhi Contact Us 8377877756
 
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort ServiceMalegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
Malegaon Call Girls Service ☎ ️82500–77686 ☎️ Enjoy 24/7 Escort Service
 
It will be International Nurses' Day on 12 May
It will be International Nurses' Day on 12 MayIt will be International Nurses' Day on 12 May
It will be International Nurses' Day on 12 May
 
Falcon Invoice Discounting: The best investment platform in india for investors
Falcon Invoice Discounting: The best investment platform in india for investorsFalcon Invoice Discounting: The best investment platform in india for investors
Falcon Invoice Discounting: The best investment platform in india for investors
 
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabiunwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
unwanted pregnancy Kit [+918133066128] Abortion Pills IN Dubai UAE Abudhabi
 
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
Cheap Rate Call Girls In Noida Sector 62 Metro 959961乂3876
 
Falcon Invoice Discounting platform in india
Falcon Invoice Discounting platform in indiaFalcon Invoice Discounting platform in india
Falcon Invoice Discounting platform in india
 
Famous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st CenturyFamous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st Century
 
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesMysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
 
Organizational Transformation Lead with Culture
Organizational Transformation Lead with CultureOrganizational Transformation Lead with Culture
Organizational Transformation Lead with Culture
 
Falcon Invoice Discounting: Empowering Your Business Growth
Falcon Invoice Discounting: Empowering Your Business GrowthFalcon Invoice Discounting: Empowering Your Business Growth
Falcon Invoice Discounting: Empowering Your Business Growth
 
Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000
Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000
Call Girls In Majnu Ka Tilla 959961~3876 Shot 2000 Night 8000
 
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
 

151f_2765_7 michigan.gov documents taxes

  • 1. Reset Form Michigan Department of Treasury and Unemployment Insurance Agency (UIA) 151 (Rev. 9-08) Power of Attorney Issued under authority of the Revenue Act and the Michigan Employment Security (MES) Act. Complete this form if you wish to appoint someone to represent you to the State of Michigan on tax, benefit or debt matters, or if you wish to revoke or change your current Power of Attorney representation. Read the instructions on page 2 before completing this form. PART 1: TAXPAYER INFORMATION Taxpayer Name and Address (include spouse's name if joint return) If a business, enter DBA, trade or assumed name. Telephone Number (Required) Fax Number FEIN or Treasury Account No. UIA Account No. Taxpayer SSN Spouse SSN E-mail Address (if applicable) PART 2: REPRESENTATIVE INFORMATION AND AUTHORIZATION DATES Your authorized representative may be an organization, firm, or individual. If your representative is not an individual, designate a contact person. Submit a separate form for each representative. Representative Name and Address Contact Name (if applicable) E-mail Address (if applicable) Telephone Number (Required) Fax Number Beginning Authorization Date - If applicable (mm/dd/yyyy) Ending Authorization Date - If applicable (mm/dd/yyyy) * PART 3: TYPE OF AUTHORIZATION GENERAL AUTHORIZATION - Granted to: Treasury UIA** Check one or both of these boxes. Authorizes my representative to: (1) inspect or receive confidential information, (2) represent me and make oral or written presentations of fact and/or argument, (3) sign returns, (4) enter into agreements, and (5) receive mail from Treasury or UIA (includes forms, billings, and notices). This authorization applies to all tax/non-tax matters and for all years or periods. Section A - Treasury Section B - UIA** LIMITED AUTHORIZATION All Only as All Only as Tax/Nontax Specified Tax/Nontax Specified Select the type of authorization by checking the appropriate boxes in Matters Below Matters Below Section A and Section B. 1. Inspect or receive confidential information 2. Represent me and make oral or written presentation of fact or argument 3. Sign returns 4. Enter into agreements 5. Receive mail from Treasury or UIA (includes forms, billings and notices) Tax Type (Income, Unemployment, Sales, Student Loan, etc.) Form Type (MI-1040, UIA 1020, 1020-R, 1017, etc.) or Assessment No. Year(s) or Period(s) PART 4: CHANGE IN POWER OF ATTORNEY Treasury UIA** CHANGE IN POWER OF ATTORNEY REPRESENTATION: This form replaces all earlier Powers of Attorney, except those attached, on file for the same tax/non-tax matters and years or periods covered by this Power of Attorney. REVOKE PREVIOUS AUTHORIZATION: I revoke all Powers of Attorney submitted and will represent myself in all tax matters. PART 5: TAXPAYER'S SIGNATURE (REQUIRED) If signed by a corporate officer, partner or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this Power of Attorney. Signature Name and Title, Printed or Typed (Required) Date (Required) Spouse's Signature Name and Title, Printed or Typed (Required) Date (Required) * If no Ending Authorization Date is provided, the above-named representative will be authorized to represent you until you notify the Michigan Department of Treasury or Unemployment Insurance Agency (UIA) in writing that this Power of Attorney is revoked. ** Unemployment Insurance Agency is abbreviated throughout this form as UIA.
  • 2. Instructions for Power of Attorney (Form 151) Complete and file a Power of Attorney (Form 151) if you wish to appoint an individual, firm, or organization as your representative in tax or debt matters before the State of Michigan. Failure to complete this form will prohibit Treasury or the Unemployment Insurance Agency (UIA) from discussing your tax return information with another person or releasing your tax return to another person. PART 5: TAXPAYER SIGNATURE PART 1: TAXPAYER INFORMATION You and your spouse, if a joint return, must sign and date the form. Enter the taxpayer’s name, address, telephone number, fax number, and e-mail address. If the taxpayer is a business operating under FILING another name, enter the DBA, trade or assumed name. Enter the If you are an individual taxpayer (not representing a business), Social Security number(s), federal employer identification number mail or fax this form to: (FEIN) or other account number, whichever applies. Also enter Customer Contact Center the UIA Account Number if this Power of Attorney applies to any Individual Correspondence Section state unemployment insurance tax matters. If spouses are Michigan Department of Treasury designating the same representative, enter the spouse’s name, P.O. Box 30757 address (if different) and Social Security number. Lansing, MI 48909 PART 2: REPRESENTATIVE INFORMATION Fax: (517) 636-4488 AND AUTHORIZATION DATES You must submit a separate form for each representative. Enter If the Michigan Accounts Receivable Collection System (MARCS) the authorized representative’s telephone number, fax number, has requested you to file this form, mail or fax your completed and e-mail address. If your representative is not an individual, form and any attachments to: designate a contact person. Indicate the beginning and ending dates of authorization. MARCS P.O. Box 30158 PART 3: TYPE OF AUTHORIZATION Lansing, MI 48909-7658 Check the General Authorization box to allow your representative Fax: (517) 272-5562 to act on your behalf to do all of the following: (1) inspect and receive confidential information, (2) represent you and make oral If a district office representative has requested you to file this or written presentations of fact and/or argument, (3) sign returns, form, mail or fax it to that representative. (4) enter into agreements, and (5) receive all (includes forms, billings, and payment notices). This authorization applies to all If the Treasury Collection Division has requested you to file this tax/non-tax matters and for all years or periods. form, mail or fax it to: You may restrict your representative’s authorization to act on Collection Division your behalf by checking the Limited Authorization box, and Michigan Department of Treasury checking the appropriate boxes in Section A and/or B. To limit P.O. Box 30199 the authorization for specific tax matters, check the appropriate Lansing, MI 48909 “Only as Specified Below” boxes, and indicate the type of tax, Fax: (517) 636-5245 type of form, and years/periods for which you are granting authorization in the space provided. If UIA has asked you to file this form, mail or fax it to: Check this box if your representative is authorized to: UIA Tax Office 1. Inspect or receive confidential information. P.O. Box 8068 2. Represent you and make oral or written presentation of fact Royal Oak, MI 48068-8068 or argument. Fax: (313) 456-2130 (for UIA only) 3. Sign tax returns. All others, mail or fax this form to the Registration Section. 4. Enter into agreements (such as payment plans). Treasury will forward your form to UIA. 5. Receive mail. Customer Contact Center PART 4: CHANGE IN POWER OF ATTORNEY Registration Section Unless otherwise specified, this Power of Attorney replaces or Michigan Department of Treasury revokes any previous Power of Attorney on file with the Michigan P.O. Box 30778 Department of Treasury or the Unemployment Insurance Agency Lansing, MI 48909-8278 for the same tax matters identified on this form. Fax: (517) 636-4520 You must identify any previous authorizations that are to remain in effect, and attach a copy of the authorizations to this form when filed.