FORM N-848
(REV. 2014)
Page 2
5 Retention/Revocation of Prior Power(s) of Attorney. The filing of this power of attorney automatically revokes all earlier power(s) of attorney on
file with the State of Hawaii for the same tax matters and years or periods covered by this document. If you do not want to revoke a prior power of
attorney, check here ............................................................................................................................................................................................
YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT.
6 Signature of Taxpayer(s). If a tax matter concerns a year in which a joint return was filed, both spouses must sign if joint representation is
requested. If signed by a corporate officer, partner, guardian, tax matters partner/person, executor, receiver, administrator, or trustee on behalf of the
taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer.
IF NOT SIGNED AND DATED, THIS POWER OF ATTORNEY WILL BE RETURNED TO THE TAXPAYER.
Signature
Date
Title (if applicable)
Print Name
Print name of taxpayer from line 1 if other than individual
Signature
Date
Title (if applicable)
Print Name
PART II
SIGNATURE OF REPRESENTATIVE(S)
Social Security Number
Type or Print Name
Signature
Date
(Last 4 numbers)
Filing the Power of Attorney
File the original, photocopy, or facsimile transmission (fax) with each letter, request, form, or other document for which the power of attorney
is required. For example, if you wish to designate an individual to represent you in obtaining tax clearance certificates, a copy of Form
N-848 must be filed each time you submit Tax Clearance Applications. The Department does not maintain a permanent, centralized file of
powers of attorney.