Alabama Tax 2848 Power of Attorney Form

In Alabama, an individual can execute this form to legally allow an accountant or any other person to file taxes on her/his behalf.

Extracted Text for Proper Search

A	LABAMA	D	EPARTMENT OF	R	EVENUE	
Power of Attorney	
and	Declaration of Representative	
NAME AND ADDRESS
NAME AND ADDRESS
NAME AND ADDRESS	
To represent the taxpayer(s) before the Alabama Department of Revenue for the following tax matters:	
TAXPAYER NAME(S) AND ADDRESS (Please Type or Print) SOCIAL SECURITY NUMBER(S) EMPLOYER IDENTIFICATION NUMBER
DAYTIME TELEPHONE NUMBER
()
Hereby appoint(s) the following representative(s) as attorney(s)-in-fact:	
FORM	
2848A	(REV. 10/05)	
NOTE:If you have questions concerning the completion of this form, please refer to the instructions for Federal
Form 2848 (revised March 2004). Alabama Form 2848A is very similar to the federal form.	
PART I – POWER OF ATTORNEY
1 TAXPAYER INFORMATION
2 REPRESENTATIVE(S) (Please Type or Print)
3 TAX MATTERS
4 ACTS AUTHORIZED
The representative(s) 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 described on line 3, (for example, the authority to sign any agreements, consents, or
other documents). The authority does not include the power to receive refund checks or the power to sign certain returns.
5 RECEIPT OF REFUND CHECKS
If you want to authorize a representative named on line 2 to receive, BUT NOT TO ENDORSE OR CASH, refund checks, 
initial here ___________ and list the name of that representative below.	
TELEPHONE NUMBER ( )
FAX NUMBER ( )
TELEPHONE NUMBER ( )
FAX NUMBER ( )
TELEPHONE NUMBER ( )
FAX NUMBER ( )	
TYPE OF TAX (Individual, Corporate, Sales, etc.) TAX FORM NUMBER (40, 20C, 41, 65, etc.) YEAR(S) or PERIOD(S)	
LIST ANY SPECIFIC ADDITIONS OR DELETIONS TO THE ACTS OTHERWISE AUTHORIZED IN THIS POWER OF ATTORNEY:
NAME OF REPRESENTATIVE TO RECEIVE REFUND CHECK(S)	
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FORM 2848A

DESIGNATION – INSERT
ABOVE LETTER (a-h)JURISDICTION (State) or
ENROLLMENT CARD NO.SIGNATURE DATE
FORM 2848A (REV. 10/05)PAGE 2
6 NOTICES AND COMMUNICATIONS
Notices and other written communications will be sent to the first representative listed in Part I, section 2.
aIf you want the second representative listed to receive such notices and communications, check this box..................	
	
bIf you do not want any notices or communications sent to your representative, check this box............................		
cIf you want any notices and communications sent to both you and your representative, check this box....................		
7 RETENTION / REVOCATION OF PRIOR POWER(S) OF ATTORNEY
The filing of this power of attorney automatically revokes all earlier power(s) of attorney on file with the Alabama 
Department of Revenue for the sametax matters and years or periods covered by this document. If you do notwant 
to revoke a prior power of attorney, check here............................................................................	
	
YOU	MUST	ATTACH	A C	OPY	OFANY	POWER	OFATTORNEY	YOU	WANT	TOREMAIN	INEFFECT	.
8 SIGNATURE OF TAXPAYER(S)
If a tax matter concerns a joint return, bothhusband and wife must sign if joint representation is requested, otherwise, see federal
instructions. If signed by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, or trustee
on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer.
If this power of attorney is not signed, it will be returned.	
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SIGNATURE DATE TITLE (If Applicable)
PRINT NAME
SIGNATURE DATE TITLE (If Applicable)
PRINT NAME	
PART II – DECLARATION OF REPRESENTATIVE
Under penalties of perjury, I declare that:
• I am not currently under suspension or disbarment from practice before the Internal Revenue Service;
• I am aware of regulations contained in Treasury Department Circular No. 230 (31 CFR, Part 10), as amended, concerning the
practice of attorneys, certified public accountants, enrolled agents, enrolled actuaries, and others;
• I am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there; and
• I am one of the following:
aAttorney – a member in good standing of the bar of the highest court of the jurisdiction shown below.
bCertified Public Accountant – duly qualified to practice as a certified public accountant in the jurisdiction shown below.
cEnrolled Agent – enrolled as an agent under the requirements of Treasury Department Circular No. 230.
dOfficer – a bona fide officer of the taxpayer’s organization.
eFull-Time Employee – a full-time employee of the taxpayer.
fFamily Member – a member of the taxpayer’s immediate family (i.e., spouse, parent, child, brother, or sister).
gEnrolled Actuary – enrolled as an actuary by the Joint Board for the Enrollment of Actuaries under 29 U.S.C. 1242 (the
authority to practice before the Service is limited by section 10.3(d)(1) of Treasury Department Circular No. 230).
hUnenrolled Return Preparer – an unenrolled return preparer under section 10.7(c)(1)(viii) of Treasury Department Circular No.
230.
If this declaration of representative is not signed and dated, the power of attorney will be returned.
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