Special Power Of Attorney Page 2
ADVERTISEMENT
1
2
3
4
5Page 2 of 5
LINE-BY-LINE INSTRUCTIONS FOR SPECIAL POA FOR USE VALUE APPRAISAL
PROGRAM:
1.
Print name of individual, business, estate, or trust.
2.
Print Social Security or Federal Identification Number of principal.
3.
Print name of Agent.
4.
Print address of Agent.
5.
Print telephone number of Agent.
6.
Check applicable boxes and/or provide specific instructions.
7.
State any special skills or expertise of agent which will be exercised by agent on behalf of
principal, such as Forester, CPA, attorney-at-law. If none, write “NONE.”
8.
List any prior Powers of Attorney on file with the Department of Taxes which are NOT
revoked.
9.
Print name of person signing POA.
10.
Signature of person signing POA.
11.
Print date POA is signed.
12.
Print title of person signing line 10.
13.
Print name of witness.
14.
Print name of person signing line 10.
15.
Signature of witness to person signing line 10.
16.
To be filled out and signed by Notary Public for person signing line 10.
17.
Print name of agent.
18.
Print name of Taxpayer from line 1.
19.
Signature of agent.
FILING INSTRUCTIONS: If this form is to be used to authorize agent to sign the application for
the landowner, it must be recorded in the land records of the municipality.
This form must also be filed with the 1) Department of Forests, Parks and Recreation at 103
South Main Street, 10 South, Waterbury, VT 05671-0601; 2) the County Forester for forest
parcels under a management plan; and with 3) the Division of Property Valuation and Review,
PO Box 1577, Montpelier, VT 05601-1577.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal