Ota Form 2 - Petition For Refund - West Virginia Offfice Of Tax Appeals Page 3

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PETITION FOR REFUND
Pg. 3 of___Pgs.
__________________
The Petitioner may represent himself or herself before the West Virginia Office of Tax Appeals or
may authorize another person to represent him or her. A representative who is not authorized to practice
law in this state may not engage in the unauthorized practice of law (for example, by conducting a direct
examination of his or her witness; or by arguing the interpretation of an ambiguous statute, regulation, etc.;
or by arguing that a statute, regulation, etc., is unconstitutional). A lawyer, including in-house counsel for
any corporation, who is not authorized to practice law in the State of West Virginia must comply with Rule
8.0 of the Rules for Admission to the Practice of Law, promulgated by the West Virginia Supreme Court of
Appeals (see State Court Rules volume of the W. Va. Code), including engaging a “responsible local
attorney.” This responsible local attorney’s name, West Virginia State Bar membership number, and
signature must be included in this petition.
For any authorized representative, the Petitioner must enclose with the petition a legible copy of
the power of attorney form, Form WV-2848, available on the internet at
I have enclosed the required power of attorney form:
___ Yes
(check)
Name of Petitioner’s Authorized Representative:
_______________________________________
Occupation of Representative (lawyer, c.p.a., etc.):
_______________________________________
Mailing address of Representative
_______________________________________
(street address & any p.o. box or drawer & zip code)
_______________________________________
Telephone no. of Representative (including area code):
_______________________________________
Fax no. (if any) of Representative (including area code): _______________________________________
E-mail address (if any) of Representative:
_______________________________________
Name, mailing address, telephone no., fax no. (if any),
_______________________________________
e-mail address (if any), & WV State Bar
membership no. of any “responsible local
_______________________________________
attorney”:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________

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