Oklahoma Tax Commission
Oklahoma City, Oklahoma 73194
Power of Attorney
(Please Type or Print.)
Note: If you appoint an organization, rm 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 (OTC) and/or acquire any tax form(s) and/or docu-
ments 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 OTC
and receive condential information and to acquire any and all tax forms and/or documents that the principal(s) can receive with respect
to the above specied matter(s) unless exceptions are noted below:
Retention/Revocation of Prior Power(s) of Attorney. The ling of this Power of Attorney automatically revokes all earlier power(s) of
attorney on le with the OTC for the same matters and years or periods covered by this document.
If you do not want to revoke a prior Power of Attorney, check here .................................................................................................
Attach a copy of any Power of Attorney you want to remain in effect.
Form BT-129
Revised 11-2021
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Taxpayer Name and Address:
Representative(s) Name and Address:
Representative(s) Name and Address:
Social Security/Federal Employer Identication Number(s):
Daytime Telephone Number:
Daytime Telephone Number:
Daytime Telephone Number:
Permit Number(s):
Fax Number:
Fax Number:
Declaration of Representative
Under penalties of perjury, by my signature below, I declare that:
• I am authorized to represent the taxpayer identied above for the matter(s) specied there; and
• I am one of the following:
Attorney – A member in good standing of the bar of the highest court of the jurisdiction shown below.
Certied Public Accountant – Duly qualied to practice as a certied public accountant in the jurisdiction shown below.
Enrolled Agent – Enrolled as an agent by the Internal Revenue Service per the requirements of IRS Circular 230.
Ofcer – A bona de ofcer of the taxpayer organization.
Full-Time Employee – A full-time employee of the taxpayer.
Family Member – A member of the taxpayer’s immediate family.
Tax Return Preparer
Other _________________________________________________________________________________________
Taxpayer(s) Signature and Date. If signed by a corporate ofcer, partner or duciary on behalf of the taxpayer, I certify that I
have the authority to execute this Power of Attorney on behalf of the taxpayer.
Signature Title (If applicable)
Date
Type or print your name below if signing for a taxpayer who is not an individual.
Name
Signature of Representative
Title (If applicable)
Title (If applicable)
Date
Date
