2019-032 - Authorizing Representation in an IRS Matter and Delegating Authority to Execute Form 2848 IRS Power of Attorney

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Form28418 Power of Attorney (Rev. January 2018) and Declaration of Representative Department of the Treasury Internal Revenue Service ► Go to www.irs.gov/F6rm2848 for instructions and the latest information. Power of Attorney Caution: A separate Form 2848 must be completed for each taxpayer. Form 2848 will not be honored for any purpose other than representation before the IRS. OMB No. 1545-0150 For IRS Use Only Received by: Name Telephone Function Date 1....... Taxpayer information. Taxpayer must sign and date this form on page 2, line 7. -.._.._ .............._......... _.. _�. Taxpayer name and address ...... w_____ .� Taxpayer identification numbers) __ .....__.. Daytime telephone number Plan number (if applicable) __.._... vvvv_Wvw __......Aww hereby appoints the following representative(s) as attorneys) -in -fact: _.� 2 Representatives) must sign and date this form on page 2, Part II. ___W_.....__..... ..... _ ................... Name and address CAF No. 0308..506 q II V" c rat C i PTIN-------------------------------- 06 S, � 01) �,�;� °4�ItN 1.114"V't,�r�! � �rVPlluq* �,. Telephone No. 479 464 56il l --------- --------- ------------------- Rog 4 ,, All (2758 Fax No. "i7A-8. 18-_69-3A Check if to be sent copies of notices and communications ✓ P ❑ ................ Check if new: Address ✓ Tele hone No. ❑ P ❑ - Fax No. ❑✓ Name and address CAF No. 030539239V'' Jai Au, AntonW, PTIN ----------------------------------------------------- ati"44:''a�',�.,�I.•lip* CapVtad awes;^n"uu.,ie, S „ute I801'i Telephone No.01 688 " 888 ------------------ ------------------- _r9fle II wa,:ck, AR 0""01 Fax No. 501 II 9 h8..78138 Check if to be sent copies of notices and communications [3Check if new: Address ❑ Telephone No. ❑ Fax No. ❑ Name and address CAF No.�� ------------------------------------------------- PTIN ----------------------------------------------------- Telephone No. Fax No. (Note: IRS sends notices and communications to only two representatives.) Check if new: Address ❑ Telephone No. ❑ Fax No. ❑ Name and address CAF No. PTIN ----------------------------------------------------- Telephone No. Fax No. (Note: IRS sends notices and communications to only two representatives. Check if new: Address ❑ Telephone No ❑ Fax No. ❑ to represent the taxpayer before the Internal Revenue Service and perform the following acts: 3 Acts authorized (you are required to complete this line 3). With the exception of the acts described in line 5b, I authorize my representatives) to receive and inspect my confidential tax information and to perform acts that I can perform with respect to the tax matters described below. For example, my representative(s) shall have the authority to sign any agreements, consents, or similar documents (see instructions for line 5a for authorizing a representative to sign a return). Description of Matter (Income, Employment, Payroll, Excise, Estate, Gift, Whistleblower, Tax Form Number Year(s) or Period(s) (if applicable) Practitioner Discipline, PLR, FOIA, Civil Penalty, Sec. 5000A Shared Responsibility (1040, 941, 720, etc.) (if applicable) (see instructions) Payment, Sec. 4980H Shared Responsibility Payment, etc.) (see instructions) 11091-c: W95 C 2016 201 1 4 Specific use not recorded on Centralized Authorization File (CAll If the power of attorney is for a specific use not recorded on CAF, check this box. See the instructions for Line 4. Specific Use Not Recorded on CAF Ill E] �. .....w.........M.____v 5a Additional acts authorized. In addition to the acts listed on line 3 above, I authorize my representative(s) to perform the following acts (see instructions for line 5a for more information): ❑ Access my IRS records via an Intermediate Service Provider; ❑ Authorize disclosure to third parties; ❑ Substitute or add representative(s); ❑ Sign a return; ❑ Other acts authorized: For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Cat. No. 11980) Form 2848 (Rev.1-2018)