Form BT-129
Revised 5-2006
Oklahoma Tax Commission
m.c. connors building
2501 lincoln boulevard
Oklahoma City, Oklahoma 73194
Power of Attorney
(Please Type or Print)
Taxpayer(s) Name(s)
Social Security/Federal Employer Identification Number(s)
Address City State Zip Code
Permit Number(s)
Name
Address
Name
Address
Telephone Number
City
State Zip Code
Telephone Number
City State Zip Code
Note: If you appoint an organization, firm or partnership, you must also name an individual within the organization to act on your behalf.
Hereby appoints:
As attorney(s)-in-fact to represent taxpayer before the Oklahoma Tax Commission and/or acquire any tax form(s) and/or
documents that taxpayer would be entitled to receive.
Type of Tax
(Income, Sales, Etc,)
State Tax Number or
Description of Tax Document
Year(s) or Period(s)
(Date of death if Estate Tax)
The attorney(s)-in-fact (or either of them) are authorized, until written revocation is received, to represent the taxpayer
before the Oklahoma Tax Commission and receive confidential information and to acquire any and all tax form(s) and/or
documents that the principal(s) can receive with respect to the above specified matter(s) unless exceptions are noted
below:
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 on behalf of the taxpayer
Name Title (if applicable) Date
Type or print your name below if signing for a taxpayer who is not an individual.
Signature of or for taxpayer(s)
Signature Title (if applicable) Date
Date
