Home > Legal > Legal > Power of Attorney Template > Idaho Power of Attorney Form > Idaho Tax Power of Attorney Form 2

Idaho Tax Power of Attorney Form 2


Idaho Tax Power of Attorney Form 2
Idaho Tax Power of Attorney Form 2
IA 2848 Iowa Power of Attorney Form
NOTE: Failure to complete all requested information will result in this form not being
valid and will delay the effective date of the power of attorney.
www.iowa.gov/tax
Iowa Department of Revenue
2. REPRESENTATIVE(S). You must include Preparer’s Tax ID Number (PTIN), Federal Employer ID Number (FEIN), or
Social Security Number (SSN). Attach a schedule for additional representatives.
Name PTIN, FEIN, OR SSN (MUST BE INCLUDED)
Firm or Company’s Legal Name Telephone Number
Address Fax Number
City, State, Zip E-Mail Address
Name PTIN, FEIN, OR SSN (MUST BE INCLUDED)
Firm or Company’s Legal Name Telephone Number
Address Fax Number
City, State, Zip E-Mail Address
Name PTIN, FEIN, OR SSN (MUST BE INCLUDED)
Firm or Company’s Legal Name Telephone Number
Address Fax Number
City, State, Zip E-Mail Address
Please type or print
The above representatives are hereby appointed as attorney(s)-in-fact to represent the taxpayer(s) before the Iowa
Department of Revenue for the following tax matter(s).
TAX TYPE OPTIONS. Enter tax type in section 3 above and include beginning and ending dates for each.
Individual Income Partnership Sales and Use Inheritance Motor Fuel
Corporation Income Franchise Withholding Fiduciary Environmental Protection Charge
Other (specify) _____________________________
14-101a (09/11/13)
A power of attorney may be effective for no more than three years from
the date it is received by the Department.
List Type of Tax (see below for options) Iowa Tax Permit Number Beginning MM/YY Ending MM/YY
Tax type and tax periods must be specifically identified. For inheritance,
estate, or generation skipping tax, enter the decedent’s date of death.
3. TAX MATTERS. TAX PERIODS (required)
Last name or company legal name Your first name/middle initial Social Security Number
Spouse’s last name Spouse’s first name/middle initial Social Security Number
Current mailing address (number and street, apartment, lot or suite number) or PO Box
City, State, Zip
Federal Employer Identification Number
State Tax Permit Number
Daytime Telephone Number
1. TAXPAYER INFORMATION. Taxpayer(s) must sign and date this form on page 2, section 8.
and the specific tax matter(s)
Reset Form
Print Form
Idaho Tax Power of Attorney Form 2
Previous

1/3

Next