DO NOT STAPLE
                          New Hampshire  
                          Department of                           DP-2848                 *DP28482311862*
                  Revenue Administration                                                                           DP28482311862

                                                               POWER OF ATTORNEY (POA)
SECTION 1- TAXPAYER INFORMATION 
Name of Taxpayer (Must match the tax return)                                                                       Taxpayer Identification Number

Name of Spouse (If filing jointly)                                                                                 Taxpayer Identification Number

Address of Taxpayer(s)                                                                                             Department Issued License Number

SECTION 2- REPRESENTATIVE(S):         I/We hereby appoint the following representative(s) as attorney(s)-in-fact:
Name of Representative                                                                                             Telephone Number

Address of Representative 

Name of Representative                                                                                             Telephone Number

Address of Representative 

Name of Representative                                                                                             Telephone Number

Address of Representative 

SECTION 3 - ACTS AUTHORIZED (Must be filled out): Said attorney(s)-in-fact is authorized to represent the taxpayer(s) before the Department of Revenue 
Administration concerning all tax matters for the tax periods and tax types indicated below, except as otherwise indicated on Line (c) below: 

Line (a):     All tax periods      or        the following tax period(s):

Line (b):     All tax types  oronly the following (check all that apply):  Business Taxes             Interest and Dividends Tax
              Meals and Rentals Tax               Real Estate Transfer Tax          Other
Line (c):  If applicable, please describe any other limitations you wish to set on the above authorization:     

Line (d): This power of attorney shall not revoke any prior powers of attorney you have authorized before the Department.   
          To revoke all prior powers of  attorney, check this box         .

SECTION 4 - SIGNATURE(S)
If signed by a corporate officer or fiduciary on behalf of the taxpayer, I certify that I have the authority to execute this power of attorney.
Taxpayer Signature                                                       Print Signatory Name & Title                        Today's Date (MMDDYYYY)

Spouse Signature (If applicable)                                         Print Signatory Name & Title                        Today's Date (MMDDYYYY)

                                      FILE ONLINE AT GRANITE TAX CONNECT WWW.REVENUE.NH.GOV/GTC 
     DP-2848  
     7FSTJPO       0 /202                        or mail to NH DRA, PO Box 637, Concord, NH 03302-0637

                          New Hampshire                                            POWER OF ATTORNEY (POA)
                          Department of                     DP-2848
                                                                                             */4536$5*0/4
                  Revenue Administration

WHEN TO FILE 
A Power Of Attorney (POA) is required prior to the Department of Revenue Administration communicating with anyone other than the taxpayer 
regarding any issue relating to the taxpayer. 
WHERE TO FILE 
File PO MJOF at Granite Tax Connect www.revenue.nh.gov/gtc  mail to NH DRA, Taxpayer Services Division, PO Box 637, Concord NH 
03302-0637    PS FNBJM TDBOOFE EPDVNFOU UP 10"!ESB OI HPW  
PLEASE NOTE 
All applicable items NVTU CF GJMMFE JO to properly complete Form DP-2848 New Hampshire Power of Attorney (POA). An incomplete form will 
prohibit direct communication between the Department and the representative. 
SECTION 1 - TAXPAYER INFORMATION 
Enter the taxpayer's name (must match the tax return), current mailing address including zip code, and taxpayer identification number (and 
Department issued license number if applicable). *G DVSSFOU BEESFTT JT EJGGFSFOU GSPN UIF BEESFTT PO GJMF XJUI UIF %FQBSUNFOU  TVCNJU GPSN 
 %1     3FQPSU PG "EESFTT $IBOHF  BMPOH XJUI UIJT GPSN  PS MPH JOUP ZPVS (5$ BDDPVOU UP VQEBUF ZPVS BEESFTT  If joint returns are involved and you 
and your spouse are designating the same representative(s), also enter your spouse's name and taxpayer identification number (and Department 
issued license number if applicable). If you need to list additional taxpayers, an additional page may be attached with each taxpayer's name and 
taxpayer identification number.   
SECTION 2 - REPRESENTATIVE(S) 
Enter the name of the representative(s). This can be an individual(s) or the name of a firm. What you enter in the Name of Representative box 
determines who the Department will have authority to correspond with as your authorized representative. If you list only an individual(s) name 
from a firm, then only the individual(s) will  have authority to represent you. If you put the firm name in the Name of Representative box then 
ANYONE with the firm will have the authority to represent you.   
Enter the current mailing address including zip code of the representative in the Address of Representative box beMPX the Name of 
Representative box. Only the person(s) or firm named in the Name of Representative box has authorization to represent you with the 
Department. A firm name that is part of an individual's address does not mean that the employees of the firm can represent the taxpayer. Provide 
the representative's phone number in the space provided. If more than one name is listed, provide the phone number of the first person listed. 
This section allows for three representatives. *f you have more than three, please attach an additional sheet and note "see attached" in one of the 
Name of Representative boxes.   
SECTION 3 - ACTS AUTHORIZED (MUST BE FILLED OUT) 
On Line (a), either check the "all" box to indicate that the representative applies to all tax periods, or limit the representation to a particular tax 
period(s) and provide the date range or period(s). If you enter only a year(s) (e.g. 2018) the representation will include any period (including any 
Meals and Rooms or Tobacco Tax periods, if authorized on Line (b)) that fall within that year. If you limit the representation to a date range, please 
be aware that your representative will not be permitted to discuss any other date range with the Department. Note: If you check both the "all" 
box and provide a date range, the representation will not be limited to the date range, but will apply to all dates and tax periods. 
On Line (b), check the boxes for the tax types that apply to your representation. If the representation applies to all taxes, check the "all" box. To 
limit the representation to one or more taxes, check all the appropriate boxes and for any taxes not shown, check the "other" box and identify the 
taxes on the line  (for example MET or UPT).  Note: If you check both the "all" box and the boxes for specific taxes, the representation will not be 
limited to a specific tax, but will apply to all tax types. 
On Line (c), describe any other limitations you wish to place on your representation. For example, if you wish to only authorize your 
representative to receive information, note this limitation on Line (c). Otherwise, your representative will not only be authorized to receive your 
confidential information but also full power to perform all acts necessary related to the subject matter of the indicated tax types and periods. 
If the box on Line (d) is not checked, the filing of this form will not revoke or otherwise invalidate any prior powers on file with the Department. If 
you check the box provided on Line (d), you will revoke all prior powers of attorney, unless the representatives are identified again in Section 2 of 
this form. If you are a representative that wishes to withdraw representation of a taxpayer, please forward a signed and dated letter with a copy of 
the POA you are withdrawing to the Department. 
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     DP-2848  
     7FSTJPO       0 /202