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West Virginia Tax Power of Attorney Form

In West Virginia, should a resident elect another individual (an accountant, for example) to file for taxes on her/his behalf, said resident must execute this form.Download

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West Virginia State Tax Department
Authorization of Power of Attorney	
(An authorization giving the person you name on this form specified powers
 to act for you in dealing with the West Virginia State Tax Department.)
Please type or print the information you provide on this form	
WV-2848
Rev. 01/05	
I hereby give the person I have named above only the  following powers to act for me in dealing with the West
Virginia State Tax Department in connection with the tax returns I have listed above:
Check each applicable box   Your signature for each power you give
to receive (but not to endorse or cash) any checks issued by
the West Virginia State Tax Department
to receive confidential tax information concerning me
to extend the period during which I am liable for assessment
or payment of any state tax
to sign tax returns and forms
to make and sign agreements settling matters in dispute
between the West Virginia State Tax Department
to assign this power of attorney to another person approved
by me in writing
the following other power or powers (if none, state "none"):
This form is continued on the reverse side.	
Your name (or name of business if applicable) Your Social Security Number (or WV Tax ID Number) Daytime Telephone
Spouse's name (if applicable) Spouse's Social Security Number (if applicable) Daytime Telephone
Street  Address City  or  Town            State        Zip Code
Name of person you are giving power of attorney Social Security or WV Tax ID number Daytime Telephone
Street  address City  or  Town            State        Zip Code
Type of Tax
(personal income, estate, etc.)Tax Form Number
(IT-140, EST-76, etc.)Month, Quarter and/or Year of Return
(date of death if estate tax)	
I limit the powers which I am authorizing on this form to the following types of tax returns for the following periods:
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This power of attorney revokes any earlier Authorization of Power of Attorney for the same types of taxes and
periods covered by this power of attorney, but only to that extent.
Signature of or for taxpayer(s)	
Your signatureDateDaytime Telephone
Spouse's signature (if any returns listed above are joint returns)DateDaytime Telephone
Signature and title of corporate officer, partner orDateDaytime Telephone
fiduciary authorized to execute this power of attorney on your behalf
If the power of attorney is granted to a person other than an attorney or certified public accountant, the taxpayer(s) signature must be
witnessed or notarized below.
The person signing as or for the taxpayer(s):  (Check and complete only one of the following sections.)
is/are known to and signed in the presence of the two disinterested witnesses whose signatures appear here:
(Signature of Witness) (Date)
(Signature of Witness) (Date)
appeared this day before a notary public and acknowledged this power of attorney as a voluntary act and deed.
Witness:	
     (Signature of Notary)
NOTARIAL SEAL
(Date)	
I understand that in authorizing this power of attorney I am also giving the person I have named above the power to
receive private and nonpublic information concerning my State taxes from the West Virginia State Tax Department.
I certify that no other person holds these powers for me.  I understand that I have the right to revoke these powers
at any time by notifying in writing both the person named above and the West Virginia State Tax Department.	
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Mail to: West Virginia State Tax Department
Revenue Division
Post Office Box 2389
Charleston, West Virginia 25328-2389
Next: Washington Financial Durable Power of Attorney Form Previous: Washington Department of Revenue Tax Power of Attorney Form
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