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New Hampshire Tax Power of Attorney Form

The New Hampshire 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.

New Hampshire Tax Power of Attorney Form
New Hampshire Tax Power of Attorney Form
FORM
DP-2848
NEW HAMPSHIRE DEPARTMENT OF REVENUE ADMINISTRATION
POWER OF ATTORNEY (POA)
SECTION 1
Name, address including ZIP code+4 and identifying number of taxpayer(s):
SECTION 2
I/We hereby appoint [name, address including ZIP code+4 and telephone number of appointee(s)]:
SECTION 3
respect to:
SECTION 6, PART A
SIGNATURE (IN INK) OF THE TAXPAYER(S): If signed by a corporate officer or fiduciary on behalf of the taxpayer, I certify
that I have the authority to execute this power of attorney on behalf of the taxpayer.
SECTION 6, PART B IF THE POWER OF ATTORNEY IS GRANTED TO A PERSON OTHER THAN AN ATTORNEY,
CERTIFIED PUBLIC ACCOUNTANT OR THE PREPARER OF SUBJECT TAX RETURN(S), IT MUST BE WITNESSED BELOW.
SECTION 5
This power of attorney revokes all prior powers of attorney relating to the above taxable period except:
Said attorney(s)-in-fact shall, subject to revocation, have authority to receive confidential information and full power to perform on behalf of the
taxpayer(s) all acts necessary with respect to above tax matters.
DP-2848
Rev 02/2012
The person signing as or for the taxpayer(s) is known to and signed (in ink) in the presence of the two disinterested witnesses
whose signatures appear here:
Witness Signature (in ink)
Date
Witness Signature (in Ink)
Date
Said attorney(s)-in-fact shall, subject to revocation, have authority to receive or inspect confidential tax information only.
SECTION 4 - MUST BE CHECKED
Signature
(in
ink) Title
Date
x
Mail To:
NH DRA, Audit Division, PO Box 457, Concord, NH 03302-0457
FOR DRA USE ONLY
NOTE
All applicable items must be filled in to properly complete Form DP-2848
New Hampshire Power of Attorney. An incomplete form will prohibit
direct communication between the Department and the appointee.
SECTION 1
Enter the complete taxpayer's name, address including ZIP code+4, and
federal identification number, social security number or Department
identification number if appropriate. Any DRA issued license or
registration number of the taxpayer should also be included in this section.
SECTION 2
Enter the name, address, including ZIP code+4 and telephone number of
the appointee. If the name of a firm is indicated, then the Department will
be authorized to correspond directly with anyone in that firm. If an
individual(s) is indicated, the Department will be authorized to correspond
directly with the individual(s) named only. A firm name that is part of an
individual's address does not mean that the employees of the firm can
represent the taxpayer.
SECTION 3
A brief description or listing of the returns and/or tax matters at issue.
Example: 2006 and 2007 New Hampshire Corporation Business Tax
Returns, 2007 New Hampshire Interest & Dividends Tax Return, or All
New Hampshire tax matters, etc.
SECTION 4
One of the two boxes MUST BE CHECKED. The first box should be
checked if the taxpayer wants the representative to be able to receive
confidential information as well as perform on behalf of the taxpayer for
all acts necessary for the tax matters at issue. The second box should
be checked if the taxpayer wants the representative to be able to receive
confidential information only.
SECTION 5
This Power of Attorney form will revoke all prior power of attorney
authorizations relating to the specific tax matters referenced in section 3
above, unless prior appointees are excepted here. If a prior POA was
completed for a CPA and the taxpayer completes a second POA to add
an attorney, the prior POA will automatically be revoked unless the CPA's
name is again entered in this section.
SECTION 6 PART A
The taxpayer is required to sign, in ink, and date the POA. The original
signed form POA must be sent to the Department at the address below.
SECTION 6 PART B
If the appointee is someone other than a CPA, an attorney, or the
preparer of the subject tax returns, the form needs to be signed, in ink,
and dated by two witnesses. The original signed POA should be mailed
to the address below.
NEED HELP
Any questions regarding completion of Form DP-2848 Power of Attorney should be directed to: Central Tax Services at: (603) 230-5000. Individuals
with hearing or speech impairments may call TDD Access: Relay NH 1-800-735-2964.
New Hampshire Tax Power of Attorney Form