The Oregon 2553 form is a crucial document that allows the Oregon Employment Department to share your company's confidential tax information with a designated representative. This form not only facilitates communication regarding tax matters but also ensures that you have control over who can access your sensitive information. By appointing a trusted individual or organization, you can streamline your interactions with the Employment Department while safeguarding your business's privacy.
The Oregon 2553 form is a crucial document for businesses interacting with the Oregon Employment Department. It serves two primary functions: first, it authorizes the department to share confidential tax information with a designated representative, which could be an individual, agency, or organization. This means that the chosen representative can discuss tax matters on behalf of the business, streamlining communication and ensuring that the company receives the necessary support. Second, the form notifies the department about the appointment of this authorized representative. Key details required on the form include the owner's name, contact information, and the business's unique identification number (BIN). The authorization remains effective until revoked, automatically replacing any previous authorizations for the same tax matters and years. Businesses must ensure that this form is signed; otherwise, it will be returned. Notably, the form emphasizes that original notices of deficiency or assessment will still be sent directly to the taxpayer, ensuring that the business remains informed of any critical updates. The Oregon Employment Department also provides assistance for individuals with disabilities or limited English proficiency, demonstrating its commitment to accessibility.
Oregon Employment Department
Tax Authorization Representative
This form allows the Employment Department to disclose your company’s confi dential tax information to your designee. You may designate a person, agency, fi rm or organization.
Owner Name/Title:
Telephone Number:
Fax Number:
(
)
Company Name:
BIN:
Mailing Address:
City:
State:
Zip Code:
The below named is authorized to receive my company’s confi dential tax information and/or discuss tax matters pertaining to my account before the Oregon Employment Department for:
All tax years, or
Specifi c tax years: ____________, ____________, ____________, ____________, ____________,
All tax matters, or
Specifi c tax matters: _______________________________________________________________
–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––
I hereby appoint the following person as designee or authorized representative:
Authorization Representative name:
Title:
Company name:
Note:
This authorization form is active until revoked and automatically revokes and replaces all earlier tax authorizations on fi le with the Oregon Employment Department for the same tax matters and years or periods covered by this form. This information will not be disclosed externally.
This authorization must be signed or it will be returned.
Owner Signature:
Date:
WorkSource Oregon Employment Department is an equal opportunity employer/program. Auxiliary aids and services, alternate formats
and language services are available to individuals with disabilities and limited English profi ciency free of cost upon request.
WorkSource Oregon Departamento de Empleo es un programa que respeta la igualdad de oportunidades. Disponemos de servicios o ayudas auxiliares, formatos alternos y asistencia de idiomas para personas con discapacidades o conocimiento limitado del inglés, a pedido y sin costo.
State of Oregon • Employment Department • www.WorkingInOregon.org
FORM 2553 (02-06) page 1 of 2
ADDITIONAL INFORMATION
This form is used for two purposes:
•Tax Information Disclosure Authorization
Allows the department to disclose your confi dential tax information to whomever you designate. Original notices of defi ciency or assessment will be mailed to the taxpayer as required by law. The representative will not receive original notices we send to you.
•Tax Authorization Representative Form
Notifi es the department that another person is authorized to receive your confi dential tax information and/or to discuss tax matters pertaining to your account before the Oregon Employment Department.
This form is effective on the date signed. Authorization terminates when the department receives written revocation notice and/or a new form is submitted.
For corporations, “taxpayer” as used on this form, must be the corporation that is subject to Oregon tax.
This form does not preclude the Oregon Employment Department from contacting the taxpayer directly regarding matters pertaining to their account as defined in ORS 657 and OAR 471.
Fax: 503-947-1700
or
Mail to:
Employment Department
Tax Section Room 107
875 Union St NE
Salem OR 97311
FORM 2553 (02-06) page 2 of 2
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