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Get MD Form 548 2019

Individual Your SSN or FEIN for business Spouse s SSN Daytime telephone number Home address (number and street) or business address Apt./Ste. number City State ZIP code +4 The above hereby appoint(s) the following representative(s) as attorney(s)-in-fact: Part II - Representative(s): This Power of Attorney will not be valid unless the Representative(s) complete(s) the Declaration of Representative section on Page 2 and sign and date this form. Representative Name Firm Name (if appl.

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