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Alabama Tax Power of Attorney Form


Alabama Tax Power of Attorney Form
Alabama Tax Power of Attorney Form
ALABAMA DEPARTMENT OF REVENUE
Power of Attorney
and Declaration of Representative
NAME AND ADDRESS
NAME AND ADDRESS
NAME AND ADDRESS
To represent the taxpayer(s) before the Alabama Department of Revenue for the following tax matters:
TAXPAYER NAME(S) AND ADDRESS (Please Type or Print) SOCIAL SECURITY NUMBER(S) EMPLOYER IDENTIFICATION NUMBER
DAYTIME TELEPHONE NUMBER
()
Hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
FORM
2848A
(REV. 10/05)
NOTE: If you have questions concerning the completion of this form, please refer to the instructions for Federal
Form 2848 (revised March 2004). Alabama Form 2848A is very similar to the federal form.
PART I – POWER OF ATTORNEY
1 TAXPAYER INFORMATION
2 REPRESENTATIVE(S) (Please Type or Print)
3 TAX MATTERS
4 ACTS AUTHORIZED
The representative(s) are authorized to receive and inspect confidential tax information and to perform any and all acts that I (we)
can perform with respect to the tax matters described on line 3, (for example, the authority to sign any agreements, consents, or
other documents). The authority does not include the power to receive refund checks or the power to sign certain returns.
5 RECEIPT OF REFUND CHECKS
If you want to authorize a representative named on line 2 to receive, BUT NOT TO ENDORSE OR CASH, refund checks,
initial here ___________ and list the name of that representative below.
TELEPHONE NUMBER ( )
FAX NUMBER ( )
TELEPHONE NUMBER ( )
FAX NUMBER ( )
TELEPHONE NUMBER ( )
FAX NUMBER ( )
TYPE OF TAX (Individual, Corporate, Sales, etc.) TAX FORM NUMBER (40, 20C, 41, 65, etc.) YEAR(S) or PERIOD(S)
LIST ANY SPECIFIC ADDITIONS OR DELETIONS TO THE ACTS OTHERWISE AUTHORIZED IN THIS POWER OF ATTORNEY:
NAME OF REPRESENTATIVE TO RECEIVE REFUND CHECK(S)
FORM 2848A
Alabama Tax Power of Attorney Form
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