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General Power Of Attorney Form

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GENERAL

POWER OF ATTORNEY

TO WHOM IT MAY CONCERN

I, the undersigned ___________________________________ in my capacity as *taxpayer / vendor /

representative taxpayer / vendor / employer ____________________________ (* delete whichever is

not applicable or complete blank space) with income tax reference number _____________________

and VAT reference number (if applicable) _______________________ hereby nominate and appoint

_____________________________________________________

his/her

capacity

__________________________________________ to be my representative with full power and

authority to act on my behalf in respect of my tax affairs, and in my name and on my behalf to make

any enquiries or to complete or sign the necessary returns or other documents regarding my tax

affairs.

This power of attorney does not apply to the lodging of any objection by me against any assessment,

appeal to the Tax Board or Court or participation in the alternative dispute resolution in terms of the

rules applicable to the dispute resolution process, which process requires a separate power of

attorney contemplated in rule 4(d)(ii) of the rules issued in terms of section 107A of the Income Tax

Act, 1962.

THIS

DONE

and

EXECUTED

_______________________________

this

the

_________________________ day of ________________________ 20___.

_______________________________

(Signature)

AS WITNESSES:

________________________

(Full name:___________________________________________)

________________________

(Full name:__________________________________________)

General Power Of Attorney Form

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