Form IL-2848 Power of Attorney - Illinois

Form IL-2848 or the "Power Of Attorney" is a form issued by the Illinois Department of Revenue.

Download a PDF version of the Form IL-2848 down below or find it on the Illinois Department of Revenue Forms website.

ADVERTISEMENT
Illinois Department of Revenue
*765211110*
IL-2848
Power of Attorney
Read this information first
Submit your completed form to REV.POA@illinois.gov. Do not attach to your tax return. You also may be required to provide a copy of this
form to a representative of the Illinois Department of Revenue. This power of attorney automatically expires 10 years from the date it is signed.
If you do not properly complete this form, you will be required to submit a new Form IL-2848. See the instructions for additional information.
Note: A separate form may need to be completed for each taxpayer. An asterisk (*) below indicates a required field.
Step 1: Complete the following taxpayer information
Name of individual or business*
Identification number (i.e., FEIN or SSN)* - All nine digits required.
Street address*
Illinois Account ID (if known)
(
)
City*
State*
ZIP*
Daytime phone number*
Step 2: Identify the authorized agent or fiduciary executing this form -
Signature required in Step 6
Complete the following if the taxpayer is a corporation, partnership, trust, or estate (i.e., not an individual taxpayer) or if someone other than
the taxpayer is authorizing the power of attorney and the taxpayer is an individual. If you are not the taxpayer and you already have been
designated by the courts as power of attorney, do not complete this form. Instead complete Form IL-56, Notice of Fiduciary Relationship. See
instructions for who can execute this form.
Name*
Title*
(
)
Street address*
Daytime phone number*
City*
State*
ZIP*
Email address
Step 3: Identify the representative(s) -
If more than two representatives, list the total number here: ______
Attach a copy of page one for every two additional representatives. (See instructions.) Note: If any representative listed is a person who is not
an attorney, a certified public accountant, or an enrolled agent, you must complete the notary section of Step 6.
The taxpayer named above appoints the following representative as attorney-in-fact:
Name of individual*
Name of individual*
Check one:
Check one:
Attorney
CPA
Enrolled agent
Attorney
CPA
Enrolled agent
(if applicable)
(if applicable)
Name of firm, if applicable
Name of firm, if applicable
Identification number (Attorney License No., PTIN, FEIN, or SSN)* - See instr.
Identification number (Attorney License No., PTIN, FEIN, or SSN)* - See instr.
Street address*
Street address*
City*
State*
ZIP*
City*
State*
ZIP*
(
)
(
)
(
)
(
)
Daytime phone number*
Fax number
Daytime phone number*
Fax number
Email address
Email address
Check this box if you want to authorize the Department to send
Check this box if you want to authorize the Department to send
duplicate copies of notices to the representative listed above.
duplicate copies of notices to the representative listed above.
Complete the following if a box above is checked to indicate that the representative is an attorney, CPA, or enrolled agent
I declare that I am not currently under suspension or disbarment and that I am
a member in good standing of the bar of the highest court of the jurisdiction indicated below; or
duly qualified to practice as a certified public accountant in the jurisdiction indicated below; or
enrolled as an agent pursuant to the requirements of United States Treasury Department Circular Number 230.
Signature of representative
Date
Signature of representative
Date
Print name
Jurisdiction (state(s), etc.)
Print name
Jurisdiction (state(s), etc.)
IL-2848 (R-07/17)
Illinois Department of Revenue
*765211110*
IL-2848
Power of Attorney
Read this information first
Submit your completed form to REV.POA@illinois.gov. Do not attach to your tax return. You also may be required to provide a copy of this
form to a representative of the Illinois Department of Revenue. This power of attorney automatically expires 10 years from the date it is signed.
If you do not properly complete this form, you will be required to submit a new Form IL-2848. See the instructions for additional information.
Note: A separate form may need to be completed for each taxpayer. An asterisk (*) below indicates a required field.
Step 1: Complete the following taxpayer information
Name of individual or business*
Identification number (i.e., FEIN or SSN)* - All nine digits required.
Street address*
Illinois Account ID (if known)
(
)
City*
State*
ZIP*
Daytime phone number*
Step 2: Identify the authorized agent or fiduciary executing this form -
Signature required in Step 6
Complete the following if the taxpayer is a corporation, partnership, trust, or estate (i.e., not an individual taxpayer) or if someone other than
the taxpayer is authorizing the power of attorney and the taxpayer is an individual. If you are not the taxpayer and you already have been
designated by the courts as power of attorney, do not complete this form. Instead complete Form IL-56, Notice of Fiduciary Relationship. See
instructions for who can execute this form.
Name*
Title*
(
)
Street address*
Daytime phone number*
City*
State*
ZIP*
Email address
Step 3: Identify the representative(s) -
If more than two representatives, list the total number here: ______
Attach a copy of page one for every two additional representatives. (See instructions.) Note: If any representative listed is a person who is not
an attorney, a certified public accountant, or an enrolled agent, you must complete the notary section of Step 6.
The taxpayer named above appoints the following representative as attorney-in-fact:
Name of individual*
Name of individual*
Check one:
Check one:
Attorney
CPA
Enrolled agent
Attorney
CPA
Enrolled agent
(if applicable)
(if applicable)
Name of firm, if applicable
Name of firm, if applicable
Identification number (Attorney License No., PTIN, FEIN, or SSN)* - See instr.
Identification number (Attorney License No., PTIN, FEIN, or SSN)* - See instr.
Street address*
Street address*
City*
State*
ZIP*
City*
State*
ZIP*
(
)
(
)
(
)
(
)
Daytime phone number*
Fax number
Daytime phone number*
Fax number
Email address
Email address
Check this box if you want to authorize the Department to send
Check this box if you want to authorize the Department to send
duplicate copies of notices to the representative listed above.
duplicate copies of notices to the representative listed above.
Complete the following if a box above is checked to indicate that the representative is an attorney, CPA, or enrolled agent
I declare that I am not currently under suspension or disbarment and that I am
a member in good standing of the bar of the highest court of the jurisdiction indicated below; or
duly qualified to practice as a certified public accountant in the jurisdiction indicated below; or
enrolled as an agent pursuant to the requirements of United States Treasury Department Circular Number 230.
Signature of representative
Date
Signature of representative
Date
Print name
Jurisdiction (state(s), etc.)
Print name
Jurisdiction (state(s), etc.)
IL-2848 (R-07/17)
Step 4: Revocation of power of attorney appointments
This power of attorney revokes all powers of attorney on file with the Illinois Department of Revenue with respect to the same matters and
years or periods covered. If you do not want to revoke prior powers of attorney, check this box:
Step 5: Identify the tax matters and the type of appointment —
Designate the Tax Matters to which the power of
attorney applies and the Type of Appointment.
Tax Matters
Tax Type/Tax Form(s) or Notices*
Tax Year(s) or Filing Period(s)*
Tax Type/Tax Form(s) or Notices
Tax Year(s) or Filing Period(s)
Tax Type/Tax Form(s) or Notices
Tax Year(s) or Filing Period(s)
Type of Appointment —
Check either General or Specific Appointment. Do not check both boxes. See instructions.
General Appointment
The attorneys-in-fact named above shall have, subject to revocation, full power of attorney to perform any act that the principals can and
may perform, including the authority to receive and discuss confidential information for the tax matters listed above.
Specific Appointment
The attorneys-in-fact named above shall have, subject to revocation, power of attorney to receive and discuss with the Illinois Department
of Revenue confidential information for the tax matters listed above and to perform only those additional acts that the principals can and
may perform designated below. (Check the following, as applicable.)
Yes Endorse or collect checks in payment of refunds.
Yes Receive checks in payment of any refund of Illinois taxes, penalties, or interest.
Yes Execute waivers (including offers of waivers) of restrictions on assessment or collection of deficiencies in tax and waivers
of notice of disallowance of a claim for credit or refund.
Yes Execute consents extending the statutory period for assessments or collection of taxes.
Yes Delegate authority or substitute another representative.
Yes Execute offers in compromise or settlement of tax liability.
Yes Represent the taxpayer before the Illinois Department of Revenue in administrative hearings or the Illinois Independent Tax
Tribunal (requiring representation by an attorney).
Yes Represent the taxpayer before the Illinois Department of Revenue in proceedings other than administrative hearings, such
as proceedings before the Informal Conference Board or the Board of Appeals.
Yes Obtain a private letter ruling on behalf of the taxpayer.
Yes Other (Please describe.) _______________________________________________________________________________
Step 6: Signature (Required) -
This form must be signed by the taxpayer listed in Step 1 or the individual listed in Step 2.
If signing as a corporate officer, partner, fiduciary, or individual on behalf of the taxpayer, I certify that I have the authority to execute this
power of attorney on behalf of the taxpayer.
Taxpayer’s Signature*
Print name*
Title, if applicable
Date*
Spouse’s signature (required if spouse is listed in Step 1)
Print name
Date
Complete the following if any representative listed in Step 3 is a person other than an attorney, a certified public accountant, or
an enrolled agent.
If the power of attorney is granted to a person other than an attorney, a certified public accountant, or an enrolled agent, this document
must be witnessed or notarized below. Please check and complete one of the following:
Any person signing as or for the taxpayer
is known to and this document is signed in the presence of the
two disinterested witnesses whose signatures appear here, OR
Signature of witness
Date
Signature of witness
Date
appeared this day before a notary public and acknowledged
Notary seal
this power of attorney as his or her voluntary act and deed.
*765212110*
Signature of notary
Date
IL-2848 (R-07/17)
RESET
PRINT

Download Form IL-2848 Power of Attorney - Illinois

1056 times
Rate
4.8(4.8 / 5) 53 votes
ADVERTISEMENT
Page of 2