STATE OF CALIFORNIA CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION -82 REV.3 (-17)AUTHORIZATION FOR ELECTRONIC TRANSMISSION OF DATA N AME OF TAXPAYER(S) OR FEEPAYER(S) TAXPAYER222S/FEEPAYER222S EMAIL ADDRESS TAXPAYER222S/FEEPAYER222SCASE IDENTIFICATION NUMBER (if applicable) TAXPAYER222S/FEEPAYER222S REPRESENTATIVE TAXPAYER222S/FEEPAYER222S REPRESENTATIVE222S EMAIL ADDRESS The California Department of Tax and Fee Administration (CDTFA) collects and stores confidential information about taxpayers and feepayers and has a responsibility under the law to protect this DATE SIGNED TITLE OR POSITIONCONTACT PERSON (if other than signatory) PR INT NAME OF SIGNATORY TELEPHONE NUMBER ( ) T ITLE OR POSITION OF CONTACT PERSON TELEPHONE NUMBER ( ) *Signatory, if not a corporate officer, partner or owner, certifies under penalty of perjuryAmerican LegalNet, Inc. www.FormsWorkFlow.com