Form Ia 2848 - Iowa Department Of Revenue - Power Of Attorney Form
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3Iowa Department of Revenue
IA 2848 Iowa Power of Attorney Form
Please type or print.
Note: Read Instructions before completing form. Failure to provide all required information will result in this
form not being valid and will delay the effective date of the power of attorney (POA).
1. Taxpayer Information. Note: Taxpayer(s) must sign and date this form on page 2, section 8.
Taxpayer name and address
Social Security Number (SSN)
Note: If this POA is for a business, provide legal and trade names.
Federal Employer Identification Number (FEIN)
Tax permit number
Phone
Email
Spouse name and address
SSN
Note: Spouse is only applicable if you filed joint returns.
Phone
Email
2. Representative(s).
Note: You must include SSN, FEIN, or Preparer’s Tax ID Number (PTIN). Attach a schedule for additional
representatives.
SSN, FEIN, or PTIN of the representative (Required)
Individual’s name
Firm or company’s legal name for individual listed on previous line Phone
Mailing address
Fax number
Email
Individual’s name
SSN, FEIN, or PTIN of the representative (Required)
Firm or company’s legal name for individual listed on previous line Phone
Mailing address
Fax number
Email
The above representatives are hereby appointed as attorney(s)-in-fact to represent the taxpayer(s) before the
Iowa Department of Revenue for the following tax matter(s):
3. Tax Matters.
Note: Tax type, permit and tax periods must be provided.
Tax Periods (beginning and ending tax periods required)
List Type of Tax
Iowa Tax Permit Number
Beginning Tax Period
Ending Tax Period
(MM/YY)
(MM/YY)
(See instructions for options)
(Unlimited prior periods)
(Limited to 3 years from
date form is received)
14-101a (09/11/14)
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Parent category: Financial