FTB 3520-RVK 2018 þ Side 1 (Estates or Trusts - FEIN required)(If a joint tax return is 037led, each spouse/Registered Domestic Partner [RDP] must complete their own POA Declaration Revocation)(A subsidiary not included with the unitary taxpayer222s group return must 037le its own POA Declaration Revocation)540NR Group Nonresident ReturnBusiness EntityFiduciaryIndividual(If the POA Declaration 037led was for matters related to a 540NR Group Nonresident return) Individual (037rst name, middle initial, last name, suf037x ), estate or trust, or full legal business name CA corporation number FEIN (required for Fiduciary) Phone CA SOS number (or FTB issued number)SSN or ITINStreet address (number and street) or PO box City (If you have a foreign address, see instructions) State ZIP code Apt. no/ste. no. Representative222s name (037rst name, middle initial, and last name) Street address (number and street) or PO boxCity StateZIP code Fax Phone Apt. no/ste. no. PTIN Enrolled agent number CTEC CA state bar number CA CPA8571183 Date the original Power of Attorney Declaration was signed. ...................................... mm/dd/yyyy Foreign country name Foreign postal code Foreign province/state/county STATE OF CALIFORNIAFranchise Tax BoardPower of Attorney Declaration Revocation CALIFORNIA FORM3520-RVK en-USUse this legal document to revoke an existing Power of Attorney (POA) Declaration on 037le with the Franchise Tax Board (FTB). This form is not used to en-USrevoke a representative; it revokes an entire POA Declaration. Generally, a POA Declaration remains valid for en-USsix years en-USfrom the POA signature date or en-USuntil revoked. Form FTB 3520-RVK, Power of Attorney Declaration Revocation, will not revoke a Tax Information Authorization (TIA). To revoke a TIA, en-USuse form FTB 3535, Tax Information Authorization Revocation. en-USPart I 226 Taxpayer Informationen-USProvide the information submitted to FTB within Part I of the original Power of Attorney Declaration that you would like to revoke.en-USPart II 226 Representativeen-USProvide the information for one of the representative(s) listed on the original Power of Attorney Declaration.en-USPart III 226 Original Signature Date American LegalNet, Inc. www.FormsWorkFlow.com Side 2 þ FTB 3520-RVK 2018 þ 8572183 Print NameSignaturexTitle (required for Fiduciaries, Group Nonresidents, and Business Entities)Date en-USPart IV 226 Signature Authorizing Power of Attorney Declaration Revocationen-USTo learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go toen-US en-USftb.ca.gov/formsen-US and search for en-US1131en-US. To request this notice by mail, call 800.852.5711.en-USI am the taxpayer, legal representative, corporate of037cer, general partner, authorized managing member, tax matter partner, guardian, executor, en-USconservator, receiver, administrator, or trustee on behalf of the taxpayer, and I certify I have the legal authority to revoke an existing Power of Attorney en-USDeclaration. en-USFTB will not revoke the POA Declaration unless this form is signed and dated by an authorized individualen-US. American LegalNet, Inc. www.FormsWorkFlow.com