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District of Columbia Tax Power of Attorney Form 2

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District of Columbia Tax Power of Attorney Form 2
District of Columbia Tax Power of Attorney Form 2
GOVERNMENT OF THE DISTRICT OF COLUMBIA
Office of the Chief Financial Officer
Office of Tax and Revenue
POWER OF ATTORNEY AND DECLARATION OF REPRESENTATIVE
Power of Attorney
Social Security # FEIN #Taxpayer name(s) and address
Daytime Phone #
Hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
Representative(s) (Representatives(s) must sign and date)
Name and address Enrollment #
Telephone #
Fax #
Name and address Enrollment #
Telephone #
Fax #
To represent the taxpayer(s) before the Office of Tax and Revenue for the following tax matters:
Tax matters
Type of Tax (Income,
Sales, etc.)
Tax Form # (D-40,
D-20 etc)
Year(s) or
Period(s)
Statute of Limitations
Expiration Date
Acts authorized. The representatives 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 for example, the authority to sign any agreements, consents, other documents.
List any specific additions or deletions to the acts otherwise authorized in this power of attorney:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Notices and communications. Original notices and other written communications will be sent
to you and a copy to the first representative listed unless you check the box below.
If you do not want any notices or communications sent to your first representative, check here
District of Columbia Tax Power of Attorney Form 2
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