Alabama Department of Revenue Power of Attorney and Declaration of Representative

If you want to declare representatives and use power of attorney in the State of Alabama, you have to use this form. This form is also known as Form 2848A.

Extracted Text for Proper Search

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N AM E A N D A D DRESS
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T A XPAYER  N AM E A N D A D DRESS ( P le ase  T yp e o r P rin t)                                                                                                                                                                    SO CIA L S EC URIT Y  N UM BER
                                                                                                                                                                                                                                                        EM PLO YER  ID EN TIF IC ATIO N N UM BER
                                                                                                                                                                                                                
                                                                                                                                                                                                                                                              DAYTIM E T E LE PH O NE N UM BER
                                                                                                                                                                                                                                                          	
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F O RM	
2848A	(R EV. \b 0/\b 5)	
N O TE :  If y o u h ave  q uestio n s c o nce rn in g th e c o m ple tio n  o f th is  fo rm , p le ase  r e fe r to  th e in str u ctio ns fo r F ede ra l
F orm  2 \f4\f ( re vis e d M arc h  2 0 \b2). A la b am a F orm  2 \f4\fA  is  v e ry  s im ila r to  th e fe de ra l  fo rm .
CAUTIO N: A s e para te  F orm  2 \f4\f A  s h ould  b e c o m ple te d fo r e ach  ta xp aye r.	
P A RT I –  P O W ER  O F A TTO RNEY
\b  T A XPA YER  IN FO RM ATIO N
2 R EPR ESEN TA TIV E(S ) ( P le ase T yp e o r P rin t) M ust s ig n a n d d ate  t h is  f o rm  o n p ag e 2 ,  p art II.
3  T A X M ATTE R S
4 A CTS  A UTH O RIZ E D
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T E LE PH O NE N U\f BER       (           )
F A X N U\f BER                     (           )
TE LE PH O NE N U\f BER       (           )
F A X N U\f BER                     (           )
T E LE PH O NE N U\f BER       (           )
F A X N U\f BER                     (           )	
        TY PE O F T A X ( In div id ual, C orp ora te , S ale s, e tc .)                          TA X F O RM  N UM BER  ( 4 0, 2 0C , 4 \b, 6 \f, e tc .)                                YEA R (S ) o r P ER IO D(S )

DESIG NATIO N –  IN SER T
ABO VE L E TTE R  ( a �k )JU RIS D IC TIO N ( S ta te ) o r
E N RO LL M EN T C AR D N O .SIG NATU RE DATE F O RM  2 848A  ( R EV. \b 0/\b \f)                                                                                                                                                                                                                                                                          PA G E 2
\f  R ETE N TIO N / R EVO CATIO N O F P R IO R P O W ER (S ) O F A TTO RNEY
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                                                                            SI\b NATU RE                                                                                                            DATE                                                          TIT LE  ( If  A pp lic a ble )
                                                                            PR IN T N A\f E
PA RT II –  D EC LA RATIO N O F R EPR ESEN TA TIV E
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 <0C2 #$0
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