Form Tat Poa - Tax Appeals Tribunal Power Of Attorney - City Of New York

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The City of New York
TA X A P P E A L S T R I B U N A L
POWER OF ATTORNEY
’
:
TAXPAYER
S NAME
/
:
EIN
SSN
:
ADDRESS
.:
.:
TELEPHONE NO
FAX NO
hereby makes, constitutes and appoints:
’
(
):
REPRESENTATIVE
S NAME
S
:
FIRM NAME
:
ADDRESS
.:
.:
TELEPHONE NO
FAX NO
as taxpayer’s true and lawful attorney(s) to appear and represent taxpayer before the Tax Appeals Tribunal of the City of New
York in connection with the following matters:
TYPE OF TAX
YEAR(S)
With respect to the above specified tax matters, said attorney(s) is (are) hereby authorized to receive
confidential information and warrants, examine any and all returns filed by the taxpayer, and perform any and all
acts that the taxpayer can perform with full powers of substitution and revocation.
All communications regarding any matter coming within the scope of the authority herein granted are to be sent
to:
1.
(
)
FILL IN NAME
S
OF NOT MORE THAN TWO
OF THE ABOVE NAMED REPRESENTATIVES
2.
ALL PRIOR POWERS OF ATTORNEY ARE HEREBY REVOKED.
SIGNATURE OF THE TAXPAYER
If signed by a corporate officer, fiduciary or general partner on behalf of the taxpayer, I certify that I have authority
to execute this Power of Attorney on behalf of the taxpayer.
SIGNATURE
TITLE (
)
DATE
IF APPLICABLE

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