DO NOT STAPLE

                        New Hampshire  
                                                                        DP-2848
                          Department of                                                   *DP28482411862*
                 Revenue Administration                                                                           DP28482411862

                                                              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)

     DP-2848                         FILE ONLINE AT GRANITE TAX CONNECT (5$ 3&7&/6& /) (07 5"1 @                                               1BHF   PG  
     7FSTJPO              
                                                or mail to NH DRA, PO Box 637, Concord, NH 03302-0637