Hawaii Form N-848 (Power of Attorney ) (2024)

Power of Attorney 
Form N-848, Rev. 2018, Power of Attorney
Clear FormFORMSTATE OF HAWAII - DEPARTMENT OF TAXATION(REV. 2022)(NOTE: References to “married” and “spouse” are also references to“in a civil union” and “civil union partner,” respectively.)N-848POWER OF ATTORNEYN848_I 2022A 01 VID01This Power of Attorney will EXPIRE six (6) years from the latest date a Taxpayer signs this documentPART IPOWER OF ATTORNEY (Please type or print.)1 Taxpayer Information. Taxpayer(s) must sign and date this form on page 2, line 5.Taxpayer name(s) and addressSocial security number(s)Federal employeridentification numberDaytime telephone number(     )Fax number(     )E-mail addresshereby appoint(s) the following representative(s) as attorney(s)-in-fact:2Representative(s) must be an individual and must sign and date this form on page 2, Part II.Individual name and addressVPID or TMRID  Social Security No.  Telephone No.  (     ) Fax No.  (     ) E-mail address  Paid employee Accountant, Attorney, Enrolled AgentOtherCheck if new:   Address    Telephone    Fax    E-mail  Individual name and addressVPID or TMRID  Social Security No.  Telephone No.  (     ) Fax No.  (     ) E-mail address  Paid employeeAccountant, Attorney, Enrolled AgentOtherCheck if new:   Address    Telephone    Fax    E-mail Individual name and addressVPID or TMRID  Social Security No.  Telephone No.  (     ) Fax No.  (     ) E-mail address  Paid employeeAccountant, Attorney, Enrolled AgentOtherCheck if new:   Address    Telephone    Fax    E-mail Individual name and addressVPID or TMRID  Social Security No.  Telephone No.  (     )  Fax No.  (     ) E-mail address  Paid employeeAccountant, Attorney, Enrolled AgentOtherCheck if new:   Address    Telephone    Fax    E-mail to represent the taxpayer(s) before the Department of Taxation, State of Hawaii, for the following acts:3 Acts authorized (you are required to complete this line 3). (Stating “All Taxes” or “All Periods” on line 3 is NOT acceptable.) With the exception ofthe acts described in line 4b, I (we) authorize my (our) representative(s) to receive and inspect my (our) confidential tax information and to perform actsthat I (we) can perform with respect to the tax matters described below. For example, my (our) representative(s) shall have the authority to sign anyagreements, consents, tax clearance applications, or similar documents (but see instructions for authorizing a representative to sign a return). Pleasenote that the tax year(s) or period(s) on line 3 can extend only 3 years after the current year. For example, if Form N-848 is submitted at any time in2022, the tax year or period on line 3 cannot be extended beyond December 31, 2025. Also, please note that all correspondence from the Departmentof Taxation will be sent to the taxpayer. See page 2 of the instructions on how to revoke an existing power of attorney.Complete a separate line for each specific tax type. All three (3) columns of the line must be completed for the tax type.Hawaii Tax I.D. Number(e.g., GE-001-002-1234-01)Type of Tax(Income, General Excise, etc.)ID NO 01Year(s) or Period(s)FORM N-848FORM N-848(REV. 2022)PAGE 24a Additional acts authorized. In addition to the acts listed on line 3 above, I (we) authorize my (our) representative(s) to perform the following acts (see instructions): Authorize disclosure to third parties;  Substitute or add representatives;  Sign a return;  Other acts authorized:  4bSpecific acts not authorized. My (our) representative(s) is (are) not authorized to endorse or otherwise negotiate any check (including directing oraccepting payment by any means, electronic or otherwise, into an account owned or controlled by the representative(s) or any firm or other entitywith whom the representative(s) is (are) associated) issued by the government in respect of a Hawaii tax liability. List any specific deletions to the acts otherwise authorized in this power of attorney (see instructions): 5 Signature of Taxpayer(s). If a tax matter concerns a year in which a joint return was filed, both spouses must sign if joint representation isrequested. If signed by a corporate officer, partner, guardian, tax matters partner/person, executor, receiver, administrator, or trustee on behalf of thetaxpayer, 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 TO THE TAXPAYER. Signature Date Title (if applicable)Print Name      Print name of taxpayer from line 1 if other than individual Signature DateTitle (if applicable)Print NamePART IISIGNATURE OF REPRESENTATIVE(S)† IF NOT COMPLETED, SIGNED AND DATED, THIS POWER OF ATTORNEY WILL BE RETURNED TO THE TAXPAYER. REPRESENTATIVESMUST SIGN IN THE ORDER LISTED IN PART I, LINE 2.Type or Print NameSignatureDateFiling the Power of AttorneyFile the original, photocopy, or facsimile transmission (fax) with each letter, request, form, or other document for which the power of attorney is required.For example, if you wish to designate an individual to represent you in obtaining tax clearance certificates, a copy of Form N-848 must be filed each timeyou submit Tax Clearance Applications. Unless you are provided with contact instructions by a representative from the Department of Taxation, mail thecompleted Form N-848 to:Hawaii Department of TaxationP.O. Box 259Honolulu, HI 96809-0259or send it by FAX to (808) 587-1488QUESTIONS? Call 808-587-4242, 1-800-222-3229 (Toll-Free) or Telephone for the Hearing Impaired: 808-587-1418 or 1-800-887-8974 (Toll-Free)

Extracted from PDF file 2023-hawaii-form-n-848.pdf, last modified October 1999

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About the Corporate Income Tax

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