The URL can be used to link to this page

Home My WebLink AboutPOWER OF ATTORNEY IRS MAYOR CLERK Form 2848 Power of Attorney and Declaration of Representative OMS No. 1545-0150 For IRS Use Only Received by: Name Telephone Fu'nction Date / / Employer identification number (Rev. March 2004) Department of the Treasury Internal Revenue Service ~ Type or print. ~ See the separate instructions. I:m:I Power of Attorney . . Caution: Form 2848 will not be honored for any purpose other than representation before the IRS. 1 Taxpayer information. Taxpayer{s) must sign and date this form on page 2, line 9. Taxpayer name{s) and address Social security number(s) Augusta-Richmond County Commission 701 Greene Street, Suite 104 Augusta, GA 30901 58 : 2204274 Plan number (if applicable) 001 Daytime telephone number ( 706 ) 724-6597 hereby appoint{s) the following representative{s) as attorney(s)-in-fact: 2 Representative(s) must sign and date this form on page 2, Part II. Name and address CAF No. ____________~~~_~:~~~~~_~____________ J. Mark Poerio, Esq., Paul, Hastings Telephone No. ----l2-0%~l~t~~Jt-~~-------. . 87515th Street, N.W. Fax No. _______________________________________ Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No. 0 Name and address CAF No. __________________':'!~________________. Lynda M. Noggle, Esq., Paul, Hastings Telephone No. _____.__J~~~)_~~~_-~_?!_~________ 875 15th Street, N.W. Fax No. __________J~_~~l.~~~:~~_~!___________ Washington, DC 20005 . Check if new: Address 0 Telephone No. 0 Fax No. 0 Name and address CAF No. __________________'.l!~__________________ Lisa J. Brown, Esq., Paul, Hastings Telephone No. -----{~O~~~~~1~~~iJ~-'!-------. 87515th Street, N.W. Fax No. ________________'!______________________ Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No. 0 to represent the taxpayer(s) before the Internal Revenue Service for the following tax matters: 3 Tax matters Type of Tax (Income, Employment, Excise, etc.) or Civil Penalty (see the instructions for line 3) Voluntary Correction Program Submission Tax Form Number (1040, 941, 720, etc.) Year(s) or Period(s) (see the instructions for line 3) nfa 1949-2007 4 Specific use not recorded on Centralized Authorization File (CAF). If the power of attorney is for a specific use not recorded on CAF, check this box. See the instructions for Line 4. Specific uses not recorded on CAF.. . , . , . , , ,~D 5 Acts authorized. The representatives are authorized to receive and inspect confidential tax information and to perform any and all acts that I (we) can perform with respect to the tax matters described on line 3, for example, the authority to sign any agreements, consents, or other documents. The authority does not include the power to receive refund checks (see line 6 below), the power to substitute another representative, the power to sign certain returns, or the power to execute a request for disclosure of tax returns or return information to a third party. See the line 5 instructions for more information. Exceptions. An unenrolled return preparer cannot sign any document for a taxpayer and may only represent taxpayers in limited situations. See Unenrolled Return Preparer on page 2 of the instructions. An enrolled actuary may only represent taxpayers to the extent provided in section 10.3(d) of Circular 230. See the line 5 instructions for restrictions on tax matters partners. List any specific additions or deletions to the acts otherwise authorized in this power of attorney: __________________u_________ 6 Receipt of refund checks. If you want to authorize a representative named on line 2 to receive, BUT NOT TO ENDORSE OR CASH, refund checks, initial here and list the name of that representative below. Name of representative to receive refund check(s) ~ For Privacy Act and Paperwork Reduction Notice, see page 4 of the instructions. Cat. No. 11980J Form 2848 (Rev. 3-2004) Form 2848 (Rev, 3-2004) Page 2 7 Notices and communications. Original notices and other written communications will be sent to you.and a copy to the first representative listed on line 2. a If you also want the second representative listed to receive a copy of notices and communications, check this box. . . ~ 0 b If you do not want any notices or communications sent to your representative{s), check this box ","', ~ 0 8 Retention/revocation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier power(s) of attorney on file with the Internal Revenue Service for the same tax matters and years or periods covered by this document. If you do not want to revoke a prior power of attorney, check here, , , , , . , . , . , ' ,~D YOU MUST ATTACH A COpy OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT. 9 Signature of taxpayer(s). If a tax matter concerns a joint return, both husband and wife must sign if joint representation is requested, otherwise, see the instructions. If signeq by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, or trustee on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the. taxpayer. ~ IF NOT SIGNED AND DATED, THIS POWER OF ATTORNEY WILL BE RETURNED. b It 1_____\9x..-4_~__<~__________________:___ . 1.~IH!o.G __t\~N:____________________________ -~~tL;r;;----- Date Title (if applicable) D flv,-fl__?:___C ^M-,_~__~&<-0..____ D D D D D __A.Vi\~~__V_~:_J'l:___________________________ _ ~'~~~. /J.e./1/ _ A~ #' ..~ ... ./..........P.I.N.__N_u__m__b.e_.r._ Print rfame of taxpayer from line 1 if other than individual /l:'.wrwv_ l {-.LW[~L'm_ C.(~h:___ef_('~~~_~~~':-. Signature Date Title (if applicable) ~It---~--fb~--~------ D D D D D Print Name PIN Number ImIII Declaration of Representative Caution: Students with a special order to represent taxpayers in Qualified Low Income Taxpayer Clinics or the Student Tax Clinic Program, see the instructions for Part II. Under penalties of perjury, I declare that: . I am not currently under suspension or disbarment from practice before'the Internal Revenue Service; . I am aware of regulations contained in Treasury Department Circular No. 230 (31 CFR, Part 10), as amended, concerning the practice of attorneys, certified public accountants, enrolled agents, enrolled actuaries, and others; . I am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there; and . I am one of the following: a Attorney-a member in good standing of the bar of the highest court of the jurisdiction shown below. b Certified Public Accountant-duly qualified to practice as a certified public accountant in the jurisdiction shown below. c Enrolled Agent...:....enrolled as an agent under the requirements of Treasury Department Circular No. 230. d Officer-a bona fide officer of the taxpayer's organization. e Full-Time Employee-a full-time employee of the t~payer. f Family Member-a member of the taxpayer's immediate family (Le., spouse, parent, child, brother, or sister). g Enrolled Actuary-enrolled as an actuary by the Joint Board for the Enrollment of Actuaries under 29 U.S.C. 1242 (the authority to practice before the Service is limited by section 10.3(d) of Treasury Department Circular No. 230). h Unenrolled Return Preparer-the authority to practice before the Internal Revenue Service is limited by Treasury Department Circular No. 230, section 10. 7{c)(1 )(viii). You must have prepared the return in question and the return must be under examination by the IRS. See Unenrolled Return Preparer on page 2 of the instructions. ~ IF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED, THE POWER OF ATTORNEY WILL BE RETURNED. See the Part II instructions. Designation-Insert above letter (a-h) Jurisdiction (state) or identification Signature Date a NY, MA, DC a NY, DC a DC Form 2848 (Rev. 3-2004) Form 2848 Power of Attorney and Declaration of Representative OMS No. 1545-0150 For IRS Use Only Received by: Name Telephone Function Date / / Employer identification number (Rev, March 2004) Department of the Treasury Internal Revenue Service ~ Type or print. ~ See the separate instructions. I:m:I Power of Attorn~y . . Caution: Form 2848 will not be honored for any purpose other than representation before the IRS. 1 Taxpayer information. Taxpayer(s) must sign and date this form on page 2, line 9. Taxpayer name(s) and address Social security m.imber(s) Augusta-Richmond County Commission 701 Greene Street, Suite 104 Augusta, GA 30901 Daytime telephone number ( 706 ) 724-6597 58 : 2204274 Plan number (if applicable) 002 . hereby appoint(s) the following representative(s) as attorney(s)-in-fact: 2 Representative(s) must sign and date this form on page 2, Part II. Name and address CAF No~ ___mm.__~_~~.~:~~~~~.~m____m__ J. Mark Poerio, Esq., Paul, Hastings Telephone No. ----l2-0%~l~t~~Jt-~9..--m.. 87515th Street, N.W. Fax No. mm__._____m_m__"_______________ Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No. 0 Name and address CAF No. .___m_______m_':'!~_mm__m_____ Lynda M. Noggle, Esq., Paul, Hastings Telephone No. m____J~~~)_~~~_-_1_?!_~mm.. 875 15th Street, N.W. Fax No. m.______J~_~~l.~~~:~~_~!____._.____ . Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No, 0 Name and address CAF No. m__~____________'.l!~_________m______ Lisa J. Brown, Esq., Paul, Hastings Telephone No. m--(~O~~~;~1~~~iJ~-'!-------- 87515th Street, N.W. Fax No. mmmmmmmmmmmmm Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No. 0 to represent the taxpayer{s) before the Internal Revenue Service for the following tax matters: 3 Tax matters Type of Tax (Income, Employment, Excise, etc.) or Civil Penalty (see the instructions for line 3) Voluntary Correction Program Submission Tax Form Number (1040, 941, 720, etc.) Year(s) or Period(s) (see the instructions for line 3) nfa 1945-2007 4 Specific use not recorded on Centralized Authorization File (CAF). If the power of attorney is for a specific use not recorded on CAF, check this box. See the instructions for Line 4. Specific uses not recorded on CAF.. . , . , . , ' ,~D 5 Acts authorized. The representatives are authorized to receive and inspect confidential tax information and to perform any and all acts that I (we) can perform with respect to the tax matters described on line 3, for example, the authority to sign any agreements, consents, or other documents. The authority does not include the power to receive refund checks (see line 6 below), the power to substitute another representative, the power to sign certain returns, or the power to execute a request for disclosure of tax returns or return information to a third party. See the line 5 instructions for more information. Exceptions. An unenrolled return preparer cannot sign any document for a taxpayer and may only represent taxpayers in limited situations. See Unenrolled Return Preparer on page 2 of the instructions. An enrolled actuary may only represent taxpayers to the extent provided in section 10.3(d) of Circular 230. See the line 5 instructions for restrictions on tax matters partners. List any specific additions or deletions to the acts otherwise authorized in this power of attorney: m_________m_m_m______ 6 Receipt of refund checks. If you want to authorize a representative named on line 2 to receive, BUT NOT TO ENDORSE OR CASH, refund checks, initial here and list the name of that representative below. Name of representative to receive refund check(s) ~ For Privacy Act and Paperwork Reduction Notice, see page 4 of the instructions. Cat. No. 11980J Form 2848 (Rev. 3-2004) Form 2848 (Rev. 3-2004) Page 2 7 Notices and communications. Original notices and other written communications will be sent to you and a copy to the first representative listed on line 2. a If you also want the second representative listed to receive a copy of notices and communications, check this box . . ~ 0 b' If you do not want any notices or communications sent to your representative(s), check this box ,..,.,', ~ 0 8 Retention/revocation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier power(s) of attorney on file with the Internal Revenue Service for the same tax matters and years or periods covered by this document. If you do not wanUo revoke a prior power of attorney, check here., , ' , . , . , . , ' ,~D YOU MUST ATTACH A COPY. OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT. 9 Signature of taxpayer(s). If a tax matter concerns a joint return, both husband and wife must sign if joint representation is requested, otherwise, see the instructions. If signed by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, or trustee on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer. ~ IF NOT SIGNED AND DATED, THIS POWER OF ATTORNEY WILL BE RETURNED. {\ ()~-J~" , . _ _ _ _ L.k:_ _ _ _ _ _ _... _ _~. _ _ _ _. _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _" _ _ _. _ _ _ _ _ _ _ _ _ _ _ _.... Ignature Ql/lrv--C~JilL~li.s.-:(q/1b'Jh~I,-~---D 0 0 0 0 1/5 l6 Print Name PIN Number _____ oo - - _~_ # gn ture ____L-:_&JIJ___-:S(!J.':2tclJi.-PC__________. 00000 Print Name PIN Number '1imIIJI Declaration of Representative Caution: Students with a special order to represent taxpayers in Qualified Low Income Taxpayer Clinics or the Student Tax Clinic Program, see the instructions for Part II. Under penalties of perjury, I declare that: . I am not currently under suspension or disbarment from practice before the Internal Revenue Service; . I am aware of regulations contained in Treasury Department Circular No. 230 (31 CFR, Part 10), as amended, concerning the practice of attorneys, certified public accountants, enrolled agents, enrolled actuaries, and others; . I am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there; and . I am one of the following: a Attorney-a member in good standing of the bar of the highest court of the jurisdiction shown below. b Certified Public Accountant-duly qualified to practice as a certified public accountant in the jurisdiction shown below. c Enrolled Agent-enrolled as an agent under the requirements of Treasury Department Circular No. 230. d Officer-a bona fide officer of the taxpayer's organization. e Full-Time Employee-a full-time employee of the taxpayer. f Family Member-a member of the taxpayer's immediate family (i.e., spouse, parent, child, brother, or sister). g Enrolled Actuary-enrolled as an actuary by the Joint Board for the Enrollment of Actuaries under 29 U.S.C. 1242 (the authority to practice before the Service is limited by section 10.3{d) of Treasury Department Circular No. 230). , h Unenrolled Return Preparer-theauthority to practice before the Internal Revenue Service !s limited by Treasury Department Circular No. 230, section 10. 7 (c){1 )(viii). You must have prepared the return in question and the return must be under examination by the IRS. See Unenrolled Return Preparer on page 2 of the instructions. ..ld~!l~J2.r;. Date .- u__ ----7!J-'!:!t.-Qc.--- - - - - - - - - - - - - - m Title (if. applicable) -------------~~~!.~-~t---~~~~~~.--.--.--.-.---..---. Print name of1axpaye from line t'if other than individual -I if .::ll7fl_t.___ Date . - - C h'::,k...4...F:. ~ ~-~- (~s.: ...2_? -- Title (if applicable) ~ IF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED, THE POWER OF ATTORNEY WILL BE RETURNED. See the Part" instructions. Designation-Insert above letter (a-h) Jurisdiction (state) or identification Signature Date a NY,MA,DC a NY,DC a DC Form 2848 (Rev. 3-2004) Form 2848 Power of Attorney OMS No. 1545-0150 and Declaration of Representative For IRS Use Only (Rev. March 2004) Received by: Department of the Treasury Intemal Revenue Service ~ Type or print. ~ See the separate instructions. Name I:m:I Power of Attorney Telephone Caution: Form 2848 will not be honored for any purpose other than representation before the IRS. Function 1 Taxpayer information. Taxpayer(s) must sign and date this form on page 2,' line 9. Date / / , Taxpay~r name{s) and address Social security number(s) Employer identification , , number Augusta-Richmond County Commission , , 701 Greene Street, Suite 104 . Augusta, GA 30901 , , 58 : 2204274 , Daytime telephone number Plan number, (if applicable) ( 706 ) 724-6597 003 hereby appoint{s) the following representative(s) as attorney(s)-in-fact: 2 Representative(s) must sign and date this form on page 2, Part II. Name and address CAF No. __m__m__~_~~~:~~~~~_~___._____m J. Mark Poerio, Esq., Paul, Hastings T I 'h N (202) 551-1780 e ep one o. -ml2-02)"S51.:170S---mmm 875 15th Street, N.W. Fax No. . _ _ _______ ____ _ __ __. __ ____ __ __. __ _ ____. Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No. 0 Name and address CAF No. __ __ m___. _ ___ _ _ _ ':'!~_ __ _n_ _ __ _ _ _ _ ____ Lynda M. Noggle, Esq., Paul, Hastings Telephone No. m.m.(~~~t~~~.:_~_?!.~_____m 87515th Street, N.W. Fax No. _____m__J~_~~l.~~~:~~_~!mm_____ Washington, DC 20005 Check if new: Address 0 Telephone No. . 0 Fax No. 0 Name and address CAF No. _ _ _ m m _ m __ C __ '.l!~ __ __ m m __ moo Lisa J. Brown, Esq., Paul, Hastings "Ii I h N (202) 551-1764 875 15th Street, N.W. e ep one o. m--(~02r5'51:~'705'mm----. Fax No. __ ____ __ __ __ __ ______________ __ ___ _____. Washington, DC 20005 Check if new: Address 0 Telephone No. 0 Fax No. 0 to represent the taxpayer(s) before the Internal Revenue Service for the following tax matters: 3 Tax matters Type of Tax (Income, Employment, Excise, etc.) Tax Form Number Year(s) or Period(s) or Civil Penalty (see the instructions for line 3) (1040, 941, 720, etc.) (see the instructions for line 3) Voluntary Correction Program Submission nfa 1977-2007 4 Specific use not recorded on Centralized Authorization File (CAF). If the power of attorney is for a specific use not recorded on CAF, check this box. See the instructions for Line 4. Specific uses not recorded on CAF. , , , ,~D 5 Acts authorized. The representatives are authorized to receive and inspect confidential tax information and to perform any and all acts that I (we) can perform with respect to the tax matters described on line 3, for example, the authority to sign any agreements, consents, or other documents. The authority does not include the power to receive refund checks (see line 6 below), the power to substitute another representative, the power to sign certain returns, or the power to execute a request for disclosure of tax returns or return information to a third party. See the line 5 instructions for more information. Exceptions. An unenrolled return preparer cannot sign any document for a taxpayer and may only represent taxpayers in limited situations. S~e Unenrolled Return Preparer on page 2 of the instructions. An enrolled actuary may only represent taxpayers to the extent provided in section 10.3(d) of Circular 230. See the line 5 instructions for restrictions on tax matters partners. List any specific additions or deletions to the acts otherwise authorized in this power of attorney: mm___m___mm________ -------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------- 6 Receipt of refund checks. If you want to authorize a representative named on line 2 to receive, BUT NOT TO ENDORSE OR CASH, refund checks, initial here and list the name of that representative below. Name of representative to receive refund check(s) ~ For Privacy Act and Paperwork Reduction Notice, see page 4 of the instructions. Cat. No. 11980J Form 2848 (Rev. 3-2004) Form 2848 (Rev. 3-2004) Page 2 7 Notices and communications. Original notices and other written communications will be sent to you and a copy to the first representative listed on line 2. a If you also want the second representative listed to receive a copy of notices and communications, check this box . . ~ 0 b If you do not want any notices or communications sent to your representative(s), check this box ..,. " ~ 0 8 Retention/revoc:ation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier . power(s) of attorney on file with the Internal Revenue Service for the same tax matters and years or periods covered by , this document. If you do not want to revoke a prior power of attorney, check here. , , ' , . , . , . , ' ,~D YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT. 9. Signature of taxpayer(s). If a tax matter concerns a joint return, both husband and wife must sign if joint representation is requested, otherwise, see the instructions. If signed by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, or trustee on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer. ~ IF NOT SIGNED AND DATED, THIS POWER OF ATTORNEY WILL BE RETURNED. U2:J24 SL ----- ------------------------~-- - --------------------------------------- Signature c;&tm(}w.j.5~mCqPM'- .t'-=mm D D D D D ____JM~nt Name~____._~'_N_~u~_ber_. ~L~~---~tJ.,,~..-;~ur~----- \j) Print Name IimIIII Declaration of Representative J.d::-JJ~~(m. ..-m9n~~~PP-liC~bl;;)-------m---" - -- p.t1na~~ Zifa,t.e,:o'),({(.; i- -~ -oih;;; ihrm - ind-i~duai - -. J;?'::- JJ::9. {__ Date . _ _ _ -Ckk - p- f (;((t!_th.1SJ 1~q:1_ _ __ Title (if applicable) DDDDD PIN Number Caution: Students with a special order to represent taxpayers in Qualified Low Income Taxpayer Clinics or the Student Tax Clinic Program, see the instructions for Part II. Under penalties of perjury, I declare that: . I am not currently under suspension or disbarment from practice before the Internal Revenue Service; . I am aware of regulations contained in Treasury Department Circular No. 230 (31 CFR, Part 10), as amended, concerning the practice of attorneys, certified public accountants, enrolled agents, enrolled actuaries, and others; . I am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there; and . I am one of the following: a Attorney-a member in good standing of the bar of the highest court of the jurisdiction shown below. b Certified Public Accountant-duly qualified to practice as a certified public accountant in the jurisdiction shown below. c Enrolled Agent-enrolled as an agent under the requirements of Treasury Department Circular No. 230. d Officer-a bona fide officer of the taxpayer's organization. e Full-Time Employee-a full-time employee of the taxpayer. f Family Member-a member of the taxpayer's immediate family (Le., spouse, parent, child, brother, or sister). g Enrolled Actuary-enrolled as an actuary by the.Joint Board for the Enrollment of Actuaries under 29 U.S.C. 1242 (the authority to practice before the Service is limited by section 10.3(d) of Treasury Department Circular No. 230). h Unenrolled Return Preparer-the authority to practice before the Internal Revenue Service is limited by Treasury Department Circular No. 230, section 10.7(c){1)(viii). You must have prepared the return in question and the return must be under examination by the IRS. See Unenrolled Return Preparer on page 2 of the instructions. ~ IF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED, THE POWER OF ATTORNEY WILL ~ BE RETURNED. See the Part II instructions. Designation-Insert. Jurisdiction (state) or above letter (a-h) identification Signature Date a NY,MA,DC a NY,DC a DC Form 2848 (Rev. 3-2004) RETIREMENT PLAN FOR EMPLOYEES OF RICHMOND COUNTY VCP Submission - Control No. 911638594 PENALTY OF PERJURY STATEMENT Under penalties of perjury, I declare that I have examined this submission, including the accompanying documents, and, to the best of my knowledge and belief, the facts presented in support of this submission are true, correct, and complete. AUGUSTA-RICHMOND COUNTY COMMISSION 9~ By c2:-& '?f Its 111\y ".,- -- ^ Date: t I / U (!~C~ ~ "-, 200 ~lP LEGAL_US_ W# 52867923.1 RICHMOND EMPLOYEES PENSION FUND VCP Submission -: Control No. 911638596 PENALTY OF PERJURY STATEMENT Under penalties of perjury, I declare that I have examined this submission, including the accompanying documents, and, to the best of my knowledge . and belief, the facts presented in support of this submission are true, correct, and complete. AUGUSTA-RICHMOND COUNTY COMMISSION By tQ~.~ 8 f.f"/' r1 "'" .,f h? l . l (Il a-tf)~~ LEGAL~US_ W # 52867923.1 CITY OF AUGUSTA 1949 GENERAL RETIREMENT FUND VCP Submission - Control No. 911638595 PENALTY OF PERJURY STATEMENT Under penalties of petjury, I declare that I have examined this submission, including the , . accompanying documents, and, to the best of my knowledge and belief, the facts presented in support of this submission are true, correct, and complete. AUGUSTA-RICHMOND COUNTY COMMISSION By ~1-4-~ ~Its_(l~o/ Date: ~_,200_ LEGAL_US_ W # 52867923.1