Form Dp-2848 - Power Of Attorney (Poa) - New Hampshire Department Of Revenue Administration Page 2
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1
2New Hampshire
DP-2848
Department of
DP28481521862
Revenue Administration
POWER OF ATTORNEY (POA) - continued
IF THE POWER OF ATTORNEY IS GRANTED TO A PERSON OTHER THAN AN ATTORNEY, CERTIFIED PUBLIC ACCOUNTANT, ENROLLED AGENT OR THE
PREPARER OF SUBJECT TAX RETURN(S), IT MUST BE WITNESSED BELOW.
The person signing as or for the taxpayer(s) is known to and signed in the presence of the two disinterested witnesses whose signatures appear here:
Witness Signature
MMDDYYYY
Witness Signature
MMDDYYYY
IF WITNESS SIGNATURE IS NOT REQUIRED DO NOT FILE THIS PAGE
DP-2848
MAIL TO: NH DRA, PO BOX 1388, CONCORD, NH 03302-1388
Rev 1.2 05/2015
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