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Government of the
District of Columbia
D-2848 Power of Attorney and
Declaration of Representation
Your first name, M.I., Last name for individual or Business name for business
Spouses first name, M.I., Last name for individual
Your SSN or EIN for businessSpouse’s SSNYour daytime phone number
Home address (number and street) or business address Apartment number
OFFICIAL USE ONLY
Representative(s) This Power of Attorney will not be valid unless the Representative(s) complete the Declaration of Represen-
tative, sign and date this form on page 2.
hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
Name and addressEIN/SSN
Name and addressEIN/SSN
Type of Tax Income, Sales, etcTax FormYears or Periods
Acts authorizedThe representatives are authorized to represent the taxpayer(s) before the Office of Tax and Revenue
for the tax matters listed above, to receive and inspect confidential tax information and to perform any and all acts
that I (we) can perform (for example, the authority to sign any agreements, consents, or other documents). This
authority does not include the power to receive or cash refund checks. If you wish to grant this authority to your
authorized representative, please state this below. List any specific additions or deletions to the acts otherwise
authorized by this power of attorney:
D-2848 Page 1
Notices and communicationsOriginal notices and other written communications will be sent to you and a copy to
the first representative listed unless you check the oval below.
If you do not want any notices or communications sent to your first representative, check here:
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