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_SETUP.1
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POAINSP.BLD
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1997-07-22
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76 lines
#100
@001 Enter the name of the CORPORATION:
~Enter the name of the corporation. Should match the name on the
~return(s) in question.
@008 Enter the taxpayer identification number of the corporation:
~Enter the taxpayer identification number of the corporation.
~This is usually the employere identification number.
@002 Enter the name of the ATTORNEY:
~Enter the name of the person given the power to inspect the
~returns.
@003 Enter a description of applicable tax years and forms:
~Enter the years and forms. NOTE: You must provide the form
~numbers and years. "All years;" "All forms" will not be
~accepted.
@004 Enter the city, county, state of corporation's principal office:
~Enter the city, county/parish and state where the principal
~office of the corporation is located.
@005/@005/@005 Request is made pursuant to:
~Select under which law or laws this request is being made.
5 USC 552 (Freedom of Information Act)
5 USC 552a (Privacy Act)
5 USC 552 (Freedom of Information Act) or 5 USC 552a (Privacy Act) or both
@006 Enter the name of the individual signing:
~Enter the name of the person who is signing the power.
@007 Enter the title of the first officer signing:
~Enter the title of the person signing this agreement.
@080 Enter the title of the second officer signing.
~Enter the title of the officer who is counter-signing this
~document.
#end control section
#100
POWER OF ATTORNEY
Corporation: @001 Taxpayer identification number: @008
We hereby appoint @002, residing at @004, as our true and lawful
agent and attorney to request, inspect and copy returns, return
information and taxpayer return information, as is provided in 26
USC 6013(b) (Section 6013(b) of the Internal Revenue Code)
located in records of the Tax Division, United States Department
of Justice, in conjunction with a request pursuant to @005, for
the following:
@003
I, @006, am the @007 of @001 and cerify that I have the authority
to execute this authorization on behalf of the corporation.
___________________________________________
@006
Attestation (26 USSC 6013(1)(D)(ii))
I certify that I have the authority to execute this authorization
on behalf of @001.
____________________________________________
@007
Title: @080