Form Rv-2052 - Tennessee Department Of Revenue Power Of Attorney Page 2
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1
2PART II
Declaration of Representative
Under penalties of perjury, I declare that:
I am authorized to represent the taxpayer(s) identified in Part 1 for the tax matter(s) specified there; and
I am one of the following:
a. Attorney or Certified Public Accountant
b. Officer or full-time employee taxpayer organization
c. Other
If this declaration of representative is not signed and dated, the power of attorney will be returned.
Designation -- Insert
Jurisdiction (state)
Signature
Date
above letter (a-c)
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Parent category: Financial