Form D-2848 "Power of Attorney and Declaration of Representation" - Washington, D.C.

What Is Form D-2848?

This is a legal form that was released by the Washington DC Office of Tax and Revenue - a government authority operating within Washington, D.C.. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the Washington DC Office of Tax and Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form D-2848 by clicking the link below or browse more documents and templates provided by the Washington Dc Office of Tax and Revenue.

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Download Form D-2848 "Power of Attorney and Declaration of Representation" - Washington, D.C.

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Print
CLEAR
This is a FILL-IN format. Please do not handwrite any data on this form other than your signature.
D-2848 Power of Attorney and
Government of the
OFFICIAL USE ONLY
Declaration of Representation
District of Columbia
Personal Information
Your first name, M.I., Last name for individual or Business name for business
Spouse first name, M.I., Last name for individual
Your SSN or EIN for business
Your daytime phone number
Spouse’s SSN
Home address (number and street) or business address
Apartment number
City
State
Zip code
hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
Representative(s) This Power of Attorney will not be valid unless the Representative(s) complete the Declaration of Representative, sign and
date this form on page 2.
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Tax Matters
Type Form
Years or Periods
Type of Tax (Income, Sales, etc)
Acts authorized
The representatives are authorized to represent the taxpayer(s) before the Office of Tax and Revenue for the tax matters listed above, to receive and
inspect confidential tax information and to perform any and all acts that I (we) can perform (for example, the authority to sign any agreements,
consents, or other documents). This authority does not include the power to receive or cash refund checks. If you wish to grant this authority to your
authorized representative, please state this below. List specific additions or deletions to the acts otherwise authorized by this power of attorney:
D-2848 Page 1
Revised 05/2015
Print
CLEAR
This is a FILL-IN format. Please do not handwrite any data on this form other than your signature.
D-2848 Power of Attorney and
Government of the
OFFICIAL USE ONLY
Declaration of Representation
District of Columbia
Personal Information
Your first name, M.I., Last name for individual or Business name for business
Spouse first name, M.I., Last name for individual
Your SSN or EIN for business
Your daytime phone number
Spouse’s SSN
Home address (number and street) or business address
Apartment number
City
State
Zip code
hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
Representative(s) This Power of Attorney will not be valid unless the Representative(s) complete the Declaration of Representative, sign and
date this form on page 2.
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Name and address
EIN/SSN
PTIN
Telephone Number
Fax No.
E-mail Address
Tax Matters
Type Form
Years or Periods
Type of Tax (Income, Sales, etc)
Acts authorized
The representatives are authorized to represent the taxpayer(s) before the Office of Tax and Revenue for the tax matters listed above, to receive and
inspect confidential tax information and to perform any and all acts that I (we) can perform (for example, the authority to sign any agreements,
consents, or other documents). This authority does not include the power to receive or cash refund checks. If you wish to grant this authority to your
authorized representative, please state this below. List specific additions or deletions to the acts otherwise authorized by this power of attorney:
D-2848 Page 1
Revised 05/2015
Taxpayer's SSN or FEIN
Taxpayer's Name
Retention/revocation of prior power(s) of attorney By filing this power of attorney form, you automatically revoke all
earlier power(s) of attorney on file with the Office of Tax Revenue 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.
Signatures
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, 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 other than the taxpayer, print the name here and sign below.
Title if other than individual
Your Signature
Date
Spouse's signature if filing jointly
Date
Telephone number if other than the taxpayer
If not signed and dated, this power of attorney will be returned
Declaration of Representative Representative(s) must complete this section and sign below.
Under penalties of perjury, I declare that:
As the authorized representative of the taxpayer(s) identified for the tax matter(s) specified herein; I am one of the
following:
a. A member in good standing of the bar of the highest court of the jurisdiction shown below.
b. A Certified Public Accountant duly qualified to practice in the jurisdiction shown below.
c. An Enrolled Agent under the requirements of Treasury Department Circular # 230.
d. A bona fide officer of the taxpayer’s organization.
e. A full-time employee of the taxpayer, trust, receivership, guardian or estate.
f. A member of the taxpayer’s immediate family (i.e., spouse, parent, child, brother, or sister).
g.
A general partner of a partnership.
h.
Student Attorney or CPA- receives permission to represent taxpayers before the IRS by virtue of his/her status as
a law, business, or accounting student working in an Low Income Taxpayer Clinic or Student Tax Clinic Program.
i. Other
Bar, license, certification,
Licensing jurisdiction (state)
Designation-
or other licensing authority
registration, or enrollment number
Insert above
Date
Signature
(if applicable)
letter (a-i)
(if applicable)
If you have any questions regarding the Power of Attorney, contact the Office of Tax and Revenue, Customer Service Administration,
1101 4th Street, SW, Washington, DC 20024; or call (202) 727-4TAX (4829).
Mail the original Power of Attorney to:
Office of Tax and Revenue, Customer Service Administration, PO Box 470, Washington, DC 20044-0470
If this declaration is not signed and dated, this power of attorney will be returned
D-2848 Page 2
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