Maine Power of Attorney and Declaration of Representative

In the case of the Power of Attorney in the State of Maine wanting to declare a representative, the following form has to be completed and submitted.

Extracted Text for Proper Search

FORM 
2848-MEPower of Attorney and
Declaration of Representative	Maine Revenue Services
PO Box 1060
Augusta, ME  04332	
Over 		
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:  _________________________________________________________________
 _________________________________________________________________________________________________________
 _________________________________________________________________________________________________________
4  Notices and Communications.  By fi ling this Form 2848-ME, the taxpayer authorizes Maine Revenue Services to send either 
originals or copies of notices and any other written communications concerning the taxpayer in proceedings involving the above tax 
matter(s) to the representative fi rst named above.
NOTICE:  This authorization does not require Maine Revenue Services to send notices to the representative; in many circumstances, 
especially computer generated notices, only the taxpayer may be sent the written communication, not the representative.
5  Retention/revocation of prior power(s) of attorney: The fi ling of this Power of Attorney automatically revokes all earlier power(s) 
of attorney on fi le with Maine Revenue Services for the same tax matter(s) and year(s) or period(s) covered by this document. If you 
do not want a prior power of attorney revoked, check here ...............................................................................................................
 (You must attach a copy of any power of attorney you want to remain in effect.)
6  Signature of or for taxpayer(s):  If a tax matter concerns a joint return, both husband and wife must sign if joint representation 
is requested.  If signed by a corporate offi cer, partner, or fi duciary on behalf of the taxpayer(s), I certify that I have the authority to 
execute this power of attorney on behalf of the taxpayer.
 ____________________________________________    _________________________________________    _________________
Signature  Title, if applicable  Date
 ____________________________________________
Print Name
 ____________________________________________    _________________________________________    _________________
Spouse Signature (if applicable)  Title, if applicable  Date
 ____________________________________________
Print Name

PART II	  Declaration of Representative
Under penalties of perjury, I declare that I am:  (Circle one)
  1.  A member in good standing of the bar of the highest court of the jurisdiction shown below;
 2. Duly qualifi ed to practice as a certifi ed public accountant in the jurisdiction shown below;
  3.  An enrolled agent enrolled under U. S. Department of  Treasury Circular 230;
 4. A bona fi de offi cer of the taxpayer’s organization;
  5.  A full-time employee of the taxpayer;
  6.  A member of the taxpayer’s immediate family (spouse, parent, child, brother or sister);
 7. A fi duciary for the taxpayer;
 8. Other (Explain) ______________________________________________________________________________
  ____________________________________________________________________________________________   
  ____________________________________________________________________________________________	
 Designation Jurisdiction Signature Date 
  (insert appropriate  (state, etc.)
  number from list above)
Revised: October, 2013	
IF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED,
THE POWER OF ATTORNEY WILL BE RETURNED.