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The Maine tax power of attorney is a legal document used by the grantor to authorize the attorney-in-fact to act on his/her behalf in his/her tax related matters.
Power of Attorney and
Declaration of Representative
Maine Revenue Services
24 State House Station
Augusta, ME 04330-0024
PART I Power of Attorney
1 Taxpayer information: (Taxpayer(s) must sign and date this form below.)
Taxpayer(s) name(s) Social Security Number(s) Federal Identiﬁ cation Number
Street Address Telephone Number
City, State and Zip
2 Representative(s): Hereby appoint(s) the following individuals(s)*
Name Address Telephone Number
as attorney(s)-in-fact to represent the taxpayer(s) before Maine Revenue Services for the following tax matter(s). Specify the type(s)
of tax and year(s) or period(s) at issue, or date of death, if estate tax:
3 Tax Matters:
Type of Tax Maine Form Number Year(s) or Period(s)
(Individual, Corporate, Sales, Excise, Etc.) (1040ME, 1120ME, Sales, Excise, Etc.) (Date of Death if Estate Tax)
The attorney(s)-in-fact listed above are authorized, subject to revocation, to receive conﬁ dential information and to perform any and all
acts that the principal(s) can perform with respect to the above speciﬁ ed tax matter(s). List any speciﬁ c additions or deletions to the
acts otherwise authorized in this power of attorney: _________________________________________________________________
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