Power of Attorney and Declaration of Representative (GEN-58 Printable Form)
Important Update to POA Forms
NCDOR is updating our system to email copies of notices sent to taxpayers to authorized representatives. To ensure your authorized representatives receive emailed notices, you must resubmit the POA form, GEN-58, and include email addresses for your representatives and check the box authorizing this change. For more information about this update to the POA form, refer to this important notice.
For faster processing, complete and submit your Form GEN-58, Power of Attorney and Declaration of Representative, electronically.
To submit a paper copy of Form GEN-58, follow the instructions below.
Form GEN-58 Paper Submission
A printable PDF version of Form GEN-58 is available below. You must complete, print, and have all listed taxpayers and representatives sign the form prior to submitting it to the Department.
The Department of Revenue will not be able to process your request if the following information is not provided:
- Name
- Social Security Number(s) and/or Fed Employer ID Number
- Representative’s Name
- Type of Tax
- Year(s) or Period(s)
- Date
- Signatures
For faster processing when mailing your Form GEN-58 to the Department, do not attach your Power of Attorney to a tax return or payment.