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7154 11 /07/2002 8:47 AM Form 2848 (Rev. 1 -2002) CULTURAL COUNCIL OF INDIAN RIVER 59 3299133 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 unless you check one or more of the boxes below. a If you want the first representative listed on line 2 to receive the original , and yourself a copy, of such notices or communications , check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b If you also want the second representative listed to receive a copy of such notices and communications, check this box ► . . . . . . . . . . . . . . . . . . . . . c if you do not want any notices or communications sent to your representative(s), check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 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 ► . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO. R* * . . AI.N IN. . .EF. . F.EC. . T. . . . . . . . ------ 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . Signature Date Title (if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Print Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature Date Title if applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Print Name 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 separate instructions for Part 11 . Under penalties of perjury, I declare that: • 1 am not currently under suspension or disbarment from practice before the Internal Revenue Service ; • 1 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; • 1 am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there; and • 1 am one of the following: a Attomey-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 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)( 1 ) of Treasury Department Circular No. 230). h Unenrolled Return Preparer-an unenrolled return preparer under section 10.7(c)(viii ) of Treasury Department Circular No. 230 . HF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED, THE POWER OF ATTORNEY WILL BE RETURNED, Designation-Insert Jurisdiction (state) or above letter (a-h) Enrollment Card No. Signature Date B FLORIDA Form 2848 (Rev. 1 -2002) DAA � 1