Form N-848 - Power Of Attorney Page 2
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2FORM N-848
(REV. 2012)
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 joint return, both husband and wife 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 THIS POWER OF ATTORNEY IS NOT SIGNED, IT WILL BE RETURNED.
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.
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