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FORM

N-848

STATE OF HAWAII - DEPARTMENT OF TAXATION

(REV. 2014)

(NOTE: References to “married”, “unmarried”, and “spouse” also means
“in a civil union”, “not in a civil union”, and “civil union partner”, respectively.)

PART I

POWER OF ATTORNEY

POWER OF ATTORNEY (Please type or print.)

1 Taxpayer Information. Taxpayer(s) must sign and date this form on page 2, line 6.
Taxpayer name(s) and address (Please type or print.)
Social security number(s)
Federal employer
identification number

Daytime telephone number
(     )

Fax number
(     )

E-mail address
hereby appoint(s) the following representative(s) as attorney(s)-in-fact:
2 Representative(s) must be an individual and must sign and date this form on page 2, Part II.
Individual name and address
Telephone No.  (     ) 
Fax No.  (     ) 
E-mail address 
Check if new:   Address    Telephone    Fax    E-mail  
Individual name and address
Telephone No.  (     ) 
Fax No.  (     ) 
E-mail add