Form Ftb 743 - Myftb Account View Access Authorization

Form Ftb 743 - Myftb Account View Access Authorization - 2010

State of California

Franchise Tax Board

MyFTB Account View Access Authorization

Do not mail this form to the Franchise Tax Board (FTB). Please keep it for your records.

Use this form to give your authorized representative permission to view all tax year information associated with

your social security number (SSN) on MyFTB Account on FTB’s website.

Part 1: Taxpayer Social Security Number (SSN) and Name

Taxpayer SSN

Taxpayer Name (first name, middle initial, last name)

Spouse/RDP SSN

Spouse/RDP Name (first name, middle initial, last name)

Part 2: Authorized Representative Name, Address, and PTIN

Authorized representative name (first name, middle initial, last name) or firm name (e.g., name used when preparing client’s returns).

Street Address

City

State

ZIP Code

PTIN if applicable

Part 3: Taxpayer Signature (Spouse/RDP signature if joint returns were filed.)

I certify that I am the individual(s) named in Part 1 or have the authority to execute MyFTB Account View

Access Authorization on behalf of the taxpayer. I authorize my representative named in Part 2 to have view

only access to all my tax year information associated with my SSN on MyFTB Account on FTB’s website.

I understand my authorized representative will have access to all tax years on FTB’s system and this

authorization remains in effect until I revoke it in writing.

Taxpayer Signature_______________________________________________

Date___________________

Spouse/RDP Signature____________________________________________

Date___________________

Retention Information

Taxpayer keeps the original of this form and gives a copy to the authorized representative. Both parties must

keep the form until it is revoked. Do not mail this form to FTB.

Get FTB 1131, Franchise Tax Board Privacy Notice, at ftb.ca.gov or call us at 800.338.0505. If outside the

United States, call 916.845.6500 (not toll-free).

FTB 743 (NEW 01-2010)

Form Ftb 743 - Myftb Account View Access Authorization - 2010