Blank Arizona 285Up PDF Form

Blank Arizona 285Up PDF Form

The Arizona 285Up form is an official document used for Unclaimed Property Disclosure and Representation Authorization. This form allows claimants to appoint a representative to manage their unclaimed property matters with the Arizona Department of Revenue. Completing this form ensures that the appointed individual can access necessary confidential information and act on behalf of the claimant.

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The Arizona 285Up form is an essential document for individuals or entities seeking to claim unclaimed property from the Arizona Department of Revenue. This form facilitates the disclosure and authorization process, allowing claimants to appoint a representative to act on their behalf. The form requires detailed information about the claimant, including their name, Social Security number, and contact details. Additionally, it provides sections for designating an appointee, who can be an attorney, certified public accountant, or another qualified individual. The form also includes provisions for granting limited or full powers of attorney, which enable the appointee to perform various administrative tasks related to unclaimed property claims. Claimants can specify the extent of authority granted, including the ability to collect unclaimed property, sign waivers, and request hearings. Furthermore, the 285Up form ensures that any previous authorizations are revoked, streamlining the process for both the claimant and the appointed representative. Completing this form accurately is crucial, as it serves as a legal authorization for the release of confidential information pertaining to unclaimed property.

Document Sample

ARIZONA FORM

Unclaimed Property Disclosure/Representation Authorization Form

 

285UP

 

ARIZONA DEPARTMENT OF REVENUE

 

 

 

 

 

 

 

 

 

1. CLAIMANT INFORMATION - Please print or type.

 

Enter only those that apply:

 

Claimant name

 

 

Social Security Number(s)

 

 

 

 

 

 

Present address

 

 

Federal Employer Identification Number

 

 

 

 

 

 

City, town or post office

State

Zip Code

Daytime telephone number

 

 

 

 

(

)

2. APPOINTEE/DESIGNEE OF CLAIMANT INFORMATION

 

Provide Number, as applicable:

 

Name

 

 

State and State Bar Number

 

 

 

 

 

 

Present address

 

 

State and Certified Public Accountant Number

 

 

 

 

 

 

City, town or post office

State

Zip Code

Social Security or Other ID Number

Daytime telephone number

()

3.RELEASE OF CONFIDENTIAL INFORMATION. The appointee named above is authorized to receive confidential information relating to the unclaimed property of the claimant named above. By signing this form, I authorize the Department to release confidential information of the claimant to the appointee.

To grant a limited power of attorney, complete section 4. To grant a full power of attorney, complete section 5.

4.LIMITED POWER OF ATTORNEY. Items 4a through 4e allow the claimant to grant additional authorization to the appointee named above with regard to Unclaimed Property administrative matters before the Department of Revenue. Please check the appropriate boxes. The additional authorization must be in accordance with Arizona Supreme Court Rule 31. See instructions.

4a Appointee shall have the power to claim and collect unclaimed property on behalf of the Claimant.

4b Appointee shall have the power to sign a statute of limitations waiver on Claimant’s behalf.

4c Appointee shall have the power to execute a protest of a deficiency assessment or a denied claim or to execute an agreement on Claimant’s behalf. 4d Appointee shall have the power to request a formal hearing on Claimant’s behalf.

4e Appointee shall have the authority to delegate to others any or all authority granted to appointee by this document.

4f Other (please specify):

5. POWER OF ATTORNEY. By checking the box on line 5, the claimant named above grants the appointee named above a Power of Attorney to perform any and all acts that the claimant can perform with regard to Unclaimed Property administrative matters before the Department of Revenue.

6.REVOCATION OF EARLIER AUTHORIZATION(S). This Authorization revokes any earlier Unclaimed Property Authorizations on file with the Arizona Department of Revenue for the same year covered by this authorization.

ADOR 17-5535 (5/06)

AZ FORM 285UP (2006) PAGE 2

7.CORPORATIONS HAVING CONTROLLED SUBSIDIARIES. A.R.S. §42-2003(A)(1) provides that confidential information relating to a corporate taxpayer may be disclosed to a designee of the taxpayer who is authorized in writing by the taxpayer. A principal corporate officer of a parent corporation may execute a written authorization for a controlled subsidiary. A principal corporate officer of a parent corporation that desires to designate a person to receive confidential information regarding the corporation’s controlled subsidiaries must either attach a list containing the names of each controlled subsidiary that the parent company wants included in the disclosure authorization (a federal Form 851 may be used for this purpose) or Claimant may complete the following to include all controlled subsidiaries in the disclosure authorization.

Include the following controlled subsidiaries. A controlled subsidiary, for purposes of A.R.S. §42-2003, is defined as more than 50% ownership or control.

NAME

FEDERAL I.D. NO.

7a

7b

7c

7d

7e

7f

8.SIGNATURE OF CLAIMANT. I hereby certify that I have the authority, within the meaning of A.R.S. §42-2003(A), to execute this authorization form on behalf of the above claimant. I understand that to knowingly prepare or present a document which is fraudulent or false is a Class 5 felony pursuant to A.R.S. §42-1127(B)(2).

SIGNATURE

DATE

PRINT NAME

TITLE

9.DECLARATION OF APPOINTEE. Complete if Appointee has been given authority under Section 4 or Section 5 or is otherwise authorized to pratice law as defined in Rule 31 of the Arizona Rules of the Supreme Court.

Under penalties of perjury, I, the above named appointee, declare that I am one of the following:

a A full-time officer, partner, member or manager of a limited liability company, or employee if the individual qualifies under Rule 31(c)13 of the Arizona Rules of the Supreme Court.

b Attorney - an active member of the State Bar of Arizona.

c Certified Public Accountant - duly qualified to practice as a Certified Public Accountant in Arizona.

d Federally Authorized Tax Practitioner within the meaning of A.R.S. § 42-2069(D)(1). If appointee is engaged in practice with a federally authorized tax practitioner, provide the practitioner’s name and CAF number below:

_______________________________________________________

___________________________

PRACTITIONER’S NAME

CAF NUMBER

eOther - This may be any individual, providing the total amount in dispute, including tax, penalties, and interest is less than $5,000.00.

DESIGNATION

JURISDICTION

 

Enter a letter (a, b, c d or e).

(State)

SIGNATURE

 

 

 

If this Declaration of Appointee is not signed and dated, the representation authorization will be returned.

Mail completed form to:

Arizona Department of Revenue Unclaimed Property Unit

1600 W. Monroe Street Phoenix, AZ 85007

DATE

ADOR 17-5535 (5/06)

File Specifics

Fact Name Details
Purpose The Arizona 285UP form is used for Unclaimed Property Disclosure and Representation Authorization, allowing claimants to designate an appointee to handle their unclaimed property matters.
Governing Law This form is governed by Arizona Revised Statutes (A.R.S.) §42-2003, which outlines the disclosure of confidential information related to unclaimed property.
Power of Attorney Claimants can grant a limited or full power of attorney to their appointee, enabling them to act on behalf of the claimant in various administrative matters.
Revocation Clause By submitting the 285UP form, any earlier authorizations for unclaimed property filed with the Arizona Department of Revenue for the same year are revoked.

How to Use Arizona 285Up

Completing the Arizona 285Up form requires careful attention to detail. This form allows you to authorize an appointee to act on your behalf regarding unclaimed property matters. Ensuring that all information is accurate and complete will facilitate the processing of your request.

  1. Claimant Information: Print or type your name, Social Security Number(s), and present address. Include your city, state, zip code, and daytime telephone number.
  2. Appointee/Designee Information: Provide the name, state and state bar number (if applicable), present address, and daytime telephone number of your appointee.
  3. Release of Confidential Information: Sign the form to authorize the Department of Revenue to release confidential information to your appointee.
  4. Limited Power of Attorney: If applicable, check the boxes for the powers you wish to grant your appointee regarding unclaimed property matters.
  5. Power of Attorney: If you wish to grant full power of attorney, check the box in this section.
  6. Revocation of Earlier Authorizations: Understand that this form revokes any earlier authorizations for the same year.
  7. Controlled Subsidiaries: If applicable, include the names and federal ID numbers of any controlled subsidiaries.
  8. Signature of Claimant: Sign and date the form, certifying your authority to execute the authorization.
  9. Declaration of Appointee: The appointee must complete this section, indicating their qualifications and signing it.

After completing the form, mail it to the Arizona Department of Revenue, Unclaimed Property Unit, at the address provided. Timely submission is crucial to ensure that your request is processed without delay.

Your Questions, Answered

  1. What is the Arizona 285Up form?

    The Arizona 285Up form, also known as the Unclaimed Property Disclosure/Representation Authorization Form, is a document used to authorize a representative to act on behalf of a claimant regarding unclaimed property matters. This form allows the appointed individual to receive confidential information and take specific actions related to unclaimed property claims with the Arizona Department of Revenue.

  2. Who needs to fill out the 285Up form?

    Any individual or corporation that believes they have unclaimed property in Arizona can fill out the 285Up form. Claimants may include individuals, businesses, or organizations. If a claimant wishes to appoint someone else to handle their unclaimed property matters, that representative must also be named on the form.

  3. What information is required on the form?

    The form requires various pieces of information, including:

    • Claimant's name and Social Security Number or Federal Employer Identification Number
    • Claimant's current address and contact information
    • Appointee's name and contact information
    • Details regarding the powers being granted to the appointee

    Additionally, the claimant must sign the form to authorize the release of confidential information to the appointee.

  4. What powers can be granted to the appointee?

    The claimant can grant various powers to the appointee, including:

    • The ability to claim and collect unclaimed property
    • The authority to sign waivers or agreements
    • The right to request formal hearings
    • The option to delegate authority to others

    Claimants can choose to grant limited powers or a full power of attorney depending on their needs.

  5. How does one revoke a previous authorization?

    The 285Up form includes a section for revoking any earlier authorizations related to unclaimed property for the same year. By submitting the new form, the previous authorizations will be automatically revoked, ensuring that only the most current appointment is recognized by the Arizona Department of Revenue.

  6. Where should the completed form be sent?

    Once the form is completed and signed, it should be mailed to the Arizona Department of Revenue, specifically to the Unclaimed Property Unit. The address is:

    Arizona Department of Revenue
    Unclaimed Property Unit
    1600 W. Monroe Street
    Phoenix, AZ 85007

Common mistakes

  1. Failing to provide complete claimant information. Ensure that all relevant fields are filled out, including the claimant's name, Social Security Number, and contact details.

  2. Neglecting to specify the appointee's information. It is crucial to include the appointee's name, address, and identification number accurately.

  3. Not signing the form. The signature of the claimant is mandatory. Without it, the form will be considered incomplete.

  4. Overlooking the power of attorney sections. If you intend to grant authority, ensure you check the appropriate boxes in sections 4 and 5.

  5. Failing to revoke earlier authorizations. If applicable, check the box in section 6 to revoke any previous authorizations.

  6. Providing incorrect or outdated contact information. Ensure that the daytime telephone number is current and valid for communication.

  7. Not including controlled subsidiaries when necessary. If you are a corporate taxpayer, remember to list any controlled subsidiaries as required in section 7.

  8. Inaccurate declaration of the appointee's qualifications. The appointee must correctly declare their status under section 9 to avoid delays.

  9. Using illegible handwriting or unclear typing. The form must be readable; otherwise, it may lead to processing issues.

  10. Submitting the form to the wrong address. Ensure that the completed form is mailed to the correct address: Arizona Department of Revenue, Unclaimed Property Unit, 1600 W. Monroe Street, Phoenix, AZ 85007.

Documents used along the form

The Arizona 285UP form is essential for individuals seeking to claim unclaimed property. However, several other documents often accompany it to ensure a smooth process. Here’s a brief overview of these forms and their purposes.

  • Power of Attorney (POA): This document allows the claimant to authorize another person to act on their behalf regarding unclaimed property matters. It can be limited or general, depending on the authority granted.
  • Form 851: Used by corporations, this form lists controlled subsidiaries for which a parent corporation seeks to disclose confidential information. It ensures that all relevant entities are included in the authorization process.
  • Claimant’s Identification: A form of identification, such as a driver’s license or passport, may be required to verify the identity of the claimant. This helps prevent fraud and ensures that claims are legitimate.
  • Tax Return Documentation: Claimants might need to provide tax returns or other financial documents to substantiate their claims. This is particularly important for verifying ownership of unclaimed funds.
  • Affidavit of Heirship: In cases where the claimant is an heir to the property, this document establishes their right to claim the unclaimed property. It outlines the relationship to the deceased owner.
  • Confidentiality Agreement: If sensitive information is involved, a confidentiality agreement may be necessary to protect the details shared between the claimant and their appointed representative.

These documents, when used alongside the Arizona 285UP form, help streamline the process of claiming unclaimed property. Having the right forms ready can make a significant difference in the efficiency of your claim.

Similar forms

The Arizona 285Up form is similar to the IRS Form 2848, which is the Power of Attorney and Declaration of Representative. Both forms allow a taxpayer to designate an individual to act on their behalf in dealings with a governmental agency. The IRS form specifically pertains to federal tax matters, while the Arizona 285Up focuses on unclaimed property issues at the state level. Both documents require the taxpayer's signature and provide a mechanism for the appointed representative to access confidential information relevant to the claims being made.

Another comparable document is the IRS Form 8821, Tax Information Authorization. This form allows individuals to authorize someone to receive and inspect their tax information without granting them full power of attorney. Similar to the Arizona 285Up, it facilitates communication between the taxpayer and the appointed individual but does not allow the appointee to act on behalf of the taxpayer in a legal capacity. This distinction is crucial for individuals who want to limit the scope of authority granted to their representatives.

The Arizona 285Up form also shares similarities with the California Form BOE-392, which is used for authorizing a representative to act on behalf of a taxpayer regarding state tax matters. Like the Arizona form, it requires the taxpayer's information and the representative's details. Both forms allow the representative to handle specific administrative tasks, ensuring that the taxpayer's interests are represented in dealings with the state tax authority.

The Uniform Power of Attorney Act (UPOAA) provides a general framework for powers of attorney across multiple states, including Arizona. While the UPOAA is broader and encompasses various types of powers of attorney, it shares a common purpose with the Arizona 285Up: to enable one person to act on behalf of another. Both documents require clear identification of the powers granted and the individuals involved, ensuring that the authority is explicitly defined and legally recognized.

Additionally, the Arizona 285Up is akin to the Michigan Form 151, which is a Power of Attorney for Tax Matters. This form allows taxpayers to authorize an individual to represent them before the Michigan Department of Treasury. Both forms require detailed information about the taxpayer and the appointee, as well as signatures, to validate the authority being granted. This ensures that the appointed individual can manage the taxpayer's claims effectively.

Another similar document is the New York State Form POA-1, which is a Power of Attorney for Tax Matters. Like the Arizona 285Up, this form allows a taxpayer to designate a representative to handle specific tax-related issues with the state. Both forms include sections for granting limited or full authority, providing flexibility depending on the taxpayer's needs and preferences.

Lastly, the IRS Form 8822, Change of Address, while primarily focused on updating address information, can also require a power of attorney if the change is being submitted by a representative. This form emphasizes the importance of having a designated individual who can act on behalf of the taxpayer. Although the primary function differs, both forms highlight the necessity of proper authorization when dealing with governmental agencies.

Dos and Don'ts

When filling out the Arizona 285UP form, attention to detail is crucial. Here are some important do's and don'ts to consider:

  • Do ensure accuracy in your information. Every section should be filled out correctly to avoid delays.
  • Do read the instructions carefully. Understanding the requirements will help you complete the form properly.
  • Do sign and date the form. An unsigned form may be returned, causing further complications.
  • Do keep a copy for your records. Having a copy can be helpful for future reference or follow-up.
  • Don't leave any required fields blank. Missing information can lead to processing delays.
  • Don't provide false information. This can result in legal consequences, including potential felony charges.
  • Don't forget to include supporting documents. If applicable, attach any necessary documentation to substantiate your claims.
  • Don't submit the form without reviewing it. Double-checking can prevent mistakes that may cause issues later.

Misconceptions

Misconceptions about the Arizona 285Up form can lead to confusion and mistakes. Here are ten common misunderstandings clarified:

  1. Only individuals can file the 285Up form. Many believe only individuals can use this form, but corporations and other entities can also submit it to claim unclaimed property.
  2. Filing the form guarantees recovery of funds. Just because you file the form doesn’t mean you will automatically receive the funds. Approval depends on the validity of the claim.
  3. The appointee must be an attorney. While many choose attorneys, the appointee can be any qualified individual, including certified public accountants or other authorized representatives.
  4. Confidential information is never shared. The form allows for the release of confidential information to the designated appointee, which is a key feature of the process.
  5. All claims are processed immediately. Processing times can vary. Some claims may take longer due to additional verification needs.
  6. You cannot revoke the authorization. Claimants can revoke earlier authorizations by submitting a new form, as indicated in the instructions.
  7. Limited power of attorney is the same as full power of attorney. Limited power grants specific rights, while full power allows the appointee to act in all matters related to the claim.
  8. Only one appointee can be designated. Multiple appointees can be named, as long as their roles are clearly defined in the form.
  9. The form is only for personal use. Businesses and organizations also use the 285Up form to claim unclaimed property on behalf of their stakeholders.
  10. There are no penalties for filing incorrectly. Filing a fraudulent or false document can result in serious legal consequences, including criminal charges.

Key takeaways

When dealing with the Arizona 285UP form, it is essential to understand its purpose and how to complete it correctly. Here are some key takeaways to keep in mind:

  • Purpose of the Form: The Arizona 285UP form is used to authorize someone to act on your behalf regarding unclaimed property matters with the Arizona Department of Revenue.
  • Claimant Information: Ensure that you fill out your personal details accurately, including your name, Social Security number, and contact information.
  • Appointee Details: If you are designating someone to represent you, provide their name, contact information, and state bar number if applicable.
  • Confidential Information: By signing the form, you permit the Department of Revenue to share confidential information about your unclaimed property with your appointee.
  • Power of Attorney: You can grant either a limited or full power of attorney to your appointee, allowing them to perform specific actions on your behalf.
  • Revocation Clause: This form revokes any previous authorizations you may have filed with the Department for the same year.
  • Signature Requirement: Your signature is necessary to validate the form. Make sure to sign and date it before submission to avoid delays.

Completing the Arizona 285UP form correctly can help streamline the process of claiming unclaimed property. Take your time, ensure accuracy, and reach out for assistance if needed. Your rights and property are important, and this form is a crucial step in protecting them.