Form Ia 2848 - Iowa Department Of Revenue - Power Of Attorney Form Page 2
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3IA 2848 Iowa Power of Attorney Form, page 2
4. Acts Authorized.
Representatives are authorized to receive and inspect confidential tax information and to perform any and all
acts with respect to the tax matters described in section 3. For example, the representative may negotiate, sign
any agreements, consents, or other documents, and represent the taxpayer(s) in any informal and formal
proceeding involving the Department. The authority does not include the power to receive refund checks (see
section 5 below) or the power to substitute another representative, unless specifically added below. List any
specific additions or deletions to the acts otherwise authorized in this power of attorney:
Additions:
Deletions: __________________________________________________________________________________________
5. Receipt of Refund Checks.
If you want to authorize a representative named in section 2 to receive, BUT NOT TO ENDORSE OR CASH,
refund checks, initial here ______ and list the name of that representative below.
Name of representative to receive refund check(s): ______________________________________________________
Note: By initialing, this does not authorize the representative to endorse or cash refund checks.
6. Notices and Communications.
Original notices and other written communications will be sent to you and the taxpayer. A copy will be sent to the
first representative listed in section 2.
7. Retention / Revocation of prior Power(s) of Attorney.
The filing of this power of attorney automatically revokes all earlier power(s) of attorney on file with the Iowa
Department of Revenue for the same tax matters and tax periods covered by this document.
If you do not want to revoke a prior power of attorney, check here:
Note: YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT.
8. Signature of Taxpayer(s).
If a tax matter concerns a joint individual income tax return, both spouses are required to sign this form, if
represented by the same individual(s).
If signed by a corporate officer, partner, member, guardian, tax matters partner, executor, receiver,
administrator, or trustee on behalf of the taxpayer: I certify that I have the authority to execute this form on
behalf of the taxpayer.
Note: If the taxpayer is an entity with more than one owner or member, a second signature of a person
authorized to legally bind the entity is required.
If this form is not signed and dated, this Power of Attorney will not be valid. The form will be returned to you.
Signature
Date
Print Name
Title
Signature
Date
Print Name
Title
Mail to:
Registration Services
Iowa Department of Revenue
PO Box 10470
Des Moines IA 50306-0470
Or fax to: 515-281-3906
14-101b (09/11/14)
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