Form Ri-2848 - Power Of Attorney
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1
2State of Rhode Island and Providence Plantations
Form RI-2848
Power of Attorney
Taxpayer name
Social security or federal identification number
Address
City, town or post office
State
ZIP code
Taxpayer name
Social security or federal identification number
Address
City, town or post office
State
ZIP code
hereby appoints:
Power of Attorney name
Telephone number
Address
City, town or post office
State
ZIP code
Power of Attorney name
Telephone number
Address
City, town or post office
State
ZIP code
as attorney(s)-in-fact to represent the taxpayer(s) before the office of the State of Rhode island, Division of Taxation, for the following state
matters (specify the type(s) of tax and year(s) or period(s) (date of death if this is for estate tax)):
The attorney (s)-in-fact (or either of them) are authorized, subject to revocation, to receive confidential information and to perform on behalf
of the taxpayer (s) the following acts for the above tax matters:
Check off any of the following which are NOT granted.
To receive, but not to endorse and collect, checks in payment of any refund of state taxes, penalties or interest.
To execute waivers (including offers of waivers) of restrictions on assessment or collection of deficiencies in tax and waivers of no-
tice of disallowance of a claim for credit or refund.
To execute consents extending the statutory period for assessment or collection of taxes. To execute closing
agreements.
To represent taxpayer (s) at preliminary reviews and administrative hearings. (Must be an attorney, person authorized by law to prac-
tice accountancy, or partner or corporate officer of taxpayer as provided by the Administrative Hearing Procedures.)
Other acts (specify) ______________________________________________________________________
Notices and other written communications in proceedings involving the above matters shall be sent to the above named attorney (s) so long
as this power of attorney remains in effect.
Copies to be sent to the taxpayer (s).
This power of attorney revokes all earlier powers of attorney and tax information authorizations on file with the Division of Taxation office for
the same matters and years or periods covered by this form, except the following (Specify to whom granted, date granted, and address in-
cluding ZIP code; or refer to attached copies of earlier powers and authorizations):
If signed by corporate officer, partner, or fiduciary on behalf of the taxpayer,
I certify that I have authority to execute this power of attorney on behalf of the taxpayer.
Taxpayer signature
Print name
Title (if applicable)
Date
Taxpayer signature
Print name
Title (if applicable)
Date
Mailing address: RI Division of Taxation, One Capitol Hill, Providence, RI 02908-5806
Revised 11/2014
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Parent category: Financial