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Get NH DP-2848 2015

F 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 Telephone Number Name and Address of Representative Telephone Number SECTION 3 ACTS AUTHORIZED (Must be filled out) - Said attorney(s)-in-fact to represent the taxpayer(s) before the.

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