Form De 48 - Power Of Attorney - California Employment Development Department

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POWER OF ATTORNEY
EMPLOYER INFORMATION (Please type or print)
Business Name
State Employer Account Number(s)
Owner or Corporation Name
SSN/Corporate Number
Street Address
FEIN Number(s)
City
State
ZIP
Telephone Number(s)
hereby appoint(s) the following representative(s) as attorney(s)-in-fact to represent the employer before the Employment
Development Department regarding the employer’s business activities. This power of attorney allows the employer’s repre-
sentative access to confidential tax information and will remain in effect until it is revoked by the employer or corporate officer.
REPRESENTATIVE INFORMATION - Include all representatives authorized to receive tax information. (Please type or print)
Representative Business Name
Telephone Number(s)
Representative Name
Street Address
FAX Number
City
State
ZIP
Representative Business Name
Telephone Number(s)
Representative Name
Street Address
FAX Number
City
State
ZIP
This Power of Attorney revokes all earlier Power(s) of Attorney on file with the Employment Development Department.
Signature of Employer
Date
Print Name
CORPORATION
I certify that I have the authority to execute this Power of Attorney on behalf of the Corporation named herein.
Signature of Officer
Title
Date
Print Name
Social Security Number
DE 48 Rev. 1 (5-99) (INTERNET)
Page 1 of 1
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