OKLAHOMA EMPLOYMENT SECURITY COMMISSION
POWER OF ATTORNEY
I, _________________________________, am the owner or agent with authority to contract for
Oklahoma account # _____________________, Federal ID # __________________________.
I hereby appoint:
Name THE PAYROLL COMPANY, INC.
Address 2110 LUANN LANE
MADISON, WI 53713
City,State, Zip _______________________________________
Telephone No. (608) 268-2930
Fax No. _______________________________________
as attorney-in-fact to represent the above-named taxpayer before the Oklahoma Employment Security
Commission with respect to all unemployment insurance benefit and tax matters. This Power of
Attorney shall be effective immediately and shall remain in effect until the Oklahoma Employment
Security Commission receives notice of its revocation. The notice of revocation of a Power of
Attorney must be in writing and mailed to the Oklahoma Employment Security Commission at P.O.Box
52003, Oklahoma City, OK 73152-2003. The attorney-in-fact is authorized to receive all confidential
information pertaining to the taxpayer and the taxpayer’s unemployment insurance tax account. This
Power of Attorney removes all earlier powers of attorney previously granted by the taxpayer.
(This form must be accompanied by a notarized Acknowledgment)
State of _________________ ) Oklahoma Acct. No. ___________________
County of _______________ )
Before me, the undersigned, a notary public in and for this county and state, personally
appeared ___________________and acknowledged to me that he executed the above foregoing
instrument in his official capacity as the free and voluntary act and deed of himself and the taxpayer.
Witness of this fact I signed this document and affix my official seal this _____ day of
My Commission Expires:
STANDARD STATE POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS THAT PARTNERSHIP
(NUMBER AND STREET) (CITY) (STATE) (ZIP)
Has made, constituted and appointed, and by these presents does hereby make, constitute and appoint TPC/
The Payroll Company, Inc., 2110 Luann Lane, Madison, WI 53713, its (his)true and lawful attorney for it (him)
and in its (his)name, place and stead to execute, and to file on its (his) behalf, returns as listed below.
The employer-taxpayer does further make, constitute and appoint TPC/The Payroll Company, Inc. its true and
lawful attorney in its (his) place and stead to deposit and remit to the state of
each of the following for which TPC/The Payroll Company, Inc. us authorized herein to file returns:
State ID Number for Tax
Applicable Type of Tax
State Income Tax Withholding
State Unemployment Insurance
The employer-taxpayer does further authorize TPC/The Payroll Company, Inc. to receive confidential information
relevant to the accurate and timely preparation of taxpayer’s payroll tax returns and depository forms. This
authorization further permits TPC/The Payroll Company, Inc. to receive, but not to endorse or cash, refund
THIS POWER OF ATTORNEY SUPERSEDES ALL OTHER POWER OF ATTORNEY
This Power of Attorney shall commence and be effective on the date set forth below and shall be irrevocable for so
long as TPC/The Payroll Company, Inc. has standing on its books to the credit of any Federal, State, or
municipal government or agency the amount of any tax, assessment, or contribution for the account of employer-
taxpayer or any employees thereof. This Power of Attorney includes, where applicable, filing returns and
payments via magnetic media.
Dated at this day of ,
ATTEST: (If taxpayer is a corporation) EXECUTED IN THE PRESENCE OF: (If
taxpayer is an individual or partnership)
Acknowledge before me on this day of ,
(SIGNATURE OF COMMISSIONED NOTARY PUBLIC)
BB9105 REV. 05/21/98 R.M.N.