Form C-3 - Power Of Attorney Estate - Tax Appeal Board printable pdf download

Form C-3 - Power Of Attorney Estate - Tax Appeal Board

FORM C-3

POWER OF ATTORNEY

ESTATE

TAX APPEAL BOARD

KNOW ALL MEN BY THESE PRESENTS, that I _______________________________

________________________________ (Executor*** Administrator) of the Estate of

________________________________ do by these presents hereby make, constitute

and appoint ____________________________________my true and lawful attorney

(agent) to appear for me and represent me before the Tax Appeal Board in connection

with any matter involving the state taxes of the above-named estate, giving my said

attorney (agent) full power to do everything whatsoever requisite and necessary to be

done in the premises, and to receive refund checks, to execute waivers of the statute of

limitations, and to execute closing agreements, as fully as the undersigned might do if

personally present, with full power of substitution and revocation, at any time

subsequent to the date hereof and prior to the revocation hereof. It is requested that a

copy of all communications regarding any matter in which the said attorney (agent) is

hereby authorized to act, be addressed to:

____________________________________________

All powers of attorney heretofore given for this purpose by the undersigned are hereby

revoked.

IN TESTIMONY WHEREOF, I have hereunto set my hand and seal this ___________

day of _______________________________, 20_____.

_______________________________________

___________________________

(Executor or Administrator)

Address

_______________________________________

___________________________

Phone #

Email Address

Subscribed and sworn to before me this ________ day of _______________, 20_____.

_______________________________________

(Notary Public)

State of _____________________________ SS.

County of ____________________________

Form C-3 - Power Of Attorney Estate - Tax Appeal Board