Cook County, IL · Cook County
Power of Attorney and Declaration of Representative
This form lets a taxpayer appoint a representative to handle specified tax matters with the Cook County Department of Revenue.
At a glance
- Issued by
- City of Cook County · Cook County, Cook County, Illinois
- Notarization
- Not required: file this form without a notary.
- Official source
- cookcountyil.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Taxpayers use this form to authorize a representative to act on specified tax matters before the Cook County Department of Revenue. It asks for taxpayer and representative details, the relevant tax types and periods, the representative’s authority, and signatures. The representative also completes a declaration of their eligibility to represent the taxpayer.
Who needs it
A taxpayer who wants an individual representative to receive information or act on specified tax matters before the Cook County Department of Revenue needs this form.
How to submit it
The form names the Cook County Department of Revenue but does not provide a submission address, email, portal, or fee. Check the county website for current submission details.
About notarization
This document is signed without a notary; if the representative is neither an attorney nor a certified public accountant, the taxpayer’s signature must be witnessed by two disinterested witnesses.
How to submit this form
- 1
Download the Form
Download the Power of Attorney and Declaration of Representative form.
- 2
Complete Part I
Enter taxpayer and representative details, identify the tax matters and periods, and indicate the representative’s authority.
- 3
Complete Part II
Have the representative complete the declaration, including their designation, jurisdiction where applicable, signature, and date.
- 4
Sign and Submit
Sign and date the form. If the representative is neither an attorney nor a certified public accountant, have two disinterested witnesses sign, then check county submission details.
Frequently asked questions
- What does the Power of Attorney and Declaration of Representative do?
- It authorizes a representative to handle specified tax matters before the Cook County Department of Revenue and declares the representative’s eligibility.
- Who completes this form?
- The taxpayer provides information about themselves, the representative, and the tax matters. The appointed representative completes the declaration in Part II.
- Do I need a notary for this form?
- No. If the representative is neither an attorney nor a certified public accountant, the taxpayer’s signature must be witnessed by two disinterested witnesses.
- How do I submit this form?
- The form names the Cook County Department of Revenue but does not give submission instructions. Check the county website for current contact and submission details.