IRC § 6103(c) Consent

 

To facilitate the filing and dissemination of motor fuel electronic data with other tax or information collecting authorities, I am executing this consent to disclose otherwise confidential excise and entity tax information that I file electronically on Form 720-TO, Terminal Operator Report and/or Form 720-CS, Carrier Summary Report information returns. This consent only applies to state codes designated (designated states) on Form 8821, Tax Information Authorization. I authorize the IRS to release all information reported with respect to any state agency represented by the state codes that I designate on Form 8821, Tax Information Authorization. Attached is a complete list of state agencies responsible for the collection of motor fuel tax, along with the corresponding 2-digit state codes, to which this consent applies. Furthermore, I authorize the release of corresponding IRS display name information associated with any of my data submissions.

I understand that the agency receiving the information is not bound by IRS confidentiality laws and may use the information for any purpose as permitted by state law. The consent is effective on the date this Form 8821 is executed and remains in effect thereafter for all 720-TOs or 720-CSs returns filed by me within 3 calendar years of that date.

I may revoke this consent by notifying IRS in writing. The revocation will only be effective after IRS has processed it, and no further disclosure to any state will be made based on this consent.

ExSTARS Note to Information Providers: The previous requirement of making the EDI transaction election is no longer required. Form 8821 is the only method to authorize consent.

State abbreviation State Department

AL

Alabama  Department of Revenue
 AK  Alaska  Department of Revenue
 AZ  Arizona  Department of Transportation
 AR  Arkansas  Department of Finance and Administration
 CA  California  Board of Equalization
 CO  Colorado  Department of Revenue
 CT  Connecticut  Department of Revenue Service
 DE  Delaware  Department of Transportation
 FL  Florida  Department of Revenue
 GA  Georgia  Department of Revenue
 HI  Hawaii  Department of Taxation
 ID  Idaho  Tax Commission
 IL  Illinois  Department of Revenue
 IN  Indiana  Department of Revenue
 IA  Iowa  Department of Revenue and Finance
 KS  Kansas  Department of Revenue
 KY  Kentucky  Revenue Cabinet
 LA  Louisiana  Department of Revenue
 ME  Maine  Maine Revenue Services
 MD  Maryland  Comptroller of Treasury
 MA  Massachusetts  Department of Revenue
 MI  Michigan  Department of Treasury
 MN  Minnesota  Department of Revenue
 MS  Mississippi  Tax Commission
 MO  Missouri  Department of Revenue
 MT  Montana  Department of Transportation
 NE  Nebraska  Department of Revenue
 NV  Nevada  Department of Taxation Department of

Motor Vehicles

 NH  New Hampshire  Department of Safety
 NJ  New Jersey  Department of Treasury Director of

Taxation

 NM  New Mexico  Tax & Revenue Department
 NY  New York  Department of Tax and Finance
 NC  North Carolina  Department of Revenue
 ND  North Dakota  Tax Commissioner
 OH  Ohio  Department of Taxation
 OK  Oklahoma  Tax Commission
 OR  Oregon  Department of Transportation
 PA  Pennsylvania  Department of Revenue
 RI  Rhode Island  Department of Admin
 SC  South Carolina  Department of Revenue
 SD  South Dakota  Department of Revenue
 TN  Tennessee  Department of Revenue
 TX  Texas  Comptroller
 UT  Utah  Tax Commission
 VT  Vermont  Commissioner of Motor Vehicles
 VA  Virginia  Department of Motor Vehicles
 WA  Washington  Department of Licensing
 WV  West Virginia  Department of Tax and Revenue
 WI  Wisconsin  Department of Revenue
 WY  Wyoming  Department of Transportation
 DC  District of Columbia  Office of Tax and Revenue