Form Boe-392 - Power Of Attorney - State Of California - Board Of Equalization Page 2

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This power of attorney revokes all earlier powers of attorney on file with the California State Board of Equalization or the
Franchise Tax Board as identified above for the same matters and years or periods covered by this form, except for the
following: (Specify to whom granted, date and address, or refer to attached copies of earlier powers)
NAME
DATE POWER OF ATTORNEY GRANTED
ADDRESS
(Street & Number)
(City)
(State)
(Zip Code)
Unless limited, this power of attorney will remain in effect until the final resolution of all tax matters specified herein.
(If limited term, specify expiration date.)
TIME LIMIT
Signature of Taxpayers — If a tax matter concerns a joint return, both husband and wife must sign if joint representation is
requested. If you are a corporate officer, partner, guardian, tax matters partner/person, executor, receiver, administrator, or trustee
on behalf of the taxpayer, by signing this power of attorney you are certifying that you have the authority to execute this form on behalf
of the taxpayer.
IF THIS POWER OF ATTORNEY IS NOT SIGNED AND DATED, IT WILL BE RETURNED.
SIGNATURE
DATE
TITLE (IF APPLICABLE)
PRINT NAME
SIGNATURE
DATE
TITLE (IF APPLICABLE)
PRINT NAME
Clear
Print
BOE-392 (BACK) REV. 6 (11-01)

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