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Get NH DP-2848 2018

POWER OF ATTORNEY (POA) SECTION 1 TAXPAYER INFORMATION Name of Taxpayer Taxpayer Identification Number Name of Spouse (If filing jointly) Taxpayer Identification Number Address of Taxpayer(s) Department Issued License Number SECTION 2 REPRESENTATIVE(S) : I/We hereby appoint the following representative(s) as attorney(s)-in-fact: Name and Address of Representative Telephon.

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