Illinois Power of Attorney

Power of Attorney
Form IL-2848 Power of Attorney
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Illinois Department of Revenue	

*65203221W*

Form IL-2848	
Power of Attorney

Check one box (See instructions)
:

Add: New POA

Add: Additional POA	

Change: Existing POA

Remove: Existing POA

Step 1 - Taxpayer Information
Taxpayer’s name (person or business)

FEIN, SSN, or Illinois Account ID

Spouse’s name (if joint income tax return)

Spouse’s SSN (if joint income tax return)

Taxpayer’s Street Address	

City

Taxpayer Phone Number		

Taxpayer’s Email address		

State	

ZIP

Check this box if your authorized agent (corporate officer, partner, or individual on behalf of the taxpayer) or fiduciary is executing this
form and complete Step 4 in addition to Steps 1, 2, 3, 5, and 6.

Step 2 - Power of Attorney Information

Form IL-2848-A attached

Check one box:

Certified Public Accountant

Attorney

_______ How many Forms IL-2848-A are attached?
Enrolled Agent 	

Power of Attorney’s name		

Firm Name

Identification Number (Attorney License, PTIN, FEIN, SSN)

Email Address

Power of Attorney’s Street Address	

City				

(

(

)

Daytime Phone Number

Other (Complete Step 6)

State

ZIP

)

Fax Number

Check this box to authorize IDOR to send duplicate copies of notices to the Power of Attorney listed here.
If your Power of Attorney is an attorney, certified public accountant, or enrolled agent, the Power of Attorney must complete this
section:
I declare that I am not currently under suspension or disbarment, and that I am
•
a member in good standing of the highest court of the jurisdiction indicated;
or
•
duly qualified to practice as a certified public accountant in the
Power of Attorney Signature
Date
jurisdiction indicated;
or
•
enrolled as an agent pursuant to the requirements of United
Power of Attorney Printed Name
Jurisdiction
States Treasury Circular #230.

Step 3 - Authority Granted
I grant the above person, and anyone included in the attachment,
full authority, authorizing them to act on my behalf in all tax matters with IDOR.
limited authority (check only the boxes that apply). By checking boxes, the appointee(s) will be authorized to act on my behalf
only for the indicated tax matters. If I do not indicate a specific year, period, or Audit ID for a selected tax type, I am granting
authority for all years or periods.
Tax Type
Years/Periods/Audit ID 	
Tax Type
Years/Periods/Audit ID
Individual Income Tax

Sales and Use Tax	

Withholding Income Tax

Vehicle Use Tax (RUTs)		

Excise Tax

	

NPL/1002D

Business Income Tax

Specific Authority Granted. Attach Form IL-2848-B.

Check this
box if the appointee(s) is not authorized to sign tax return.
		
IL-2848 (R-03/22) Front

This form is authorized by various acts found in Illinois Compiled Statutes. Disclosure of
this information is REQUIRED. Failure to provide information could result in a penalty.

*65203222W*
Step 4 - Authorized Agent/Fiduciary
If you checked the box in Step 1 indicating that your authorized agent (corporate officer, partner, or individual on behalf of the taxpayer) or
fiduciary is executing this form, complete this Step in addition to Steps 1, 2, 3, 5, and 6.

Corporate Officer, Partner, Individual, or Fiduciary Name

Title (Corporate Officer, Partner, Individual, or Fiduciary)	

Email Address

Daytime Phone Number

Street Address		

City

(

)

State	

ZIP

Step 5 - Signature
This form must be signed by the taxpayer(s) listed in Step 1 unless it is being signed by an authorized agent (corporate officer, partner, or
individual on behalf of the taxpayer) or fiduciary who certifies: “That I have the authority to execute this power of attorney on behalf of the
taxpayer.” Note: If the Other box in Step 2 of this form or in any section of Form IL-2848-A, is checked, this section must be signed in front of
the witnesses or notary as documented in Step 6.

Taxpayer (Authorized Agent/Fiduciary) Signature		

Printed Name			

Spouse’s Signature	 (required if listed in Step 1)

Printed Name						

Title (if applicable)	

Date

Date

Step 6 - Witness (if applicable)
If you checked the Other box in Step 2 of this form or in any section of Form IL-2848-A, this section must be completed. This section must be
signed by two witnesses or notarized for the form to be considered complete.
Any person, signing in Step 5, as or for the taxpayer,
is known by (and this document is signed in the presence of)
two disinterested witnesses whose printed names and signatures appear here

Date

Signature of Witness

Printed Name of Witness

Signature of Witness

Date

Printed Name of Witness

OR
appeared this day before a notary public and acknowledged, by signing in
my presence, this power of attorney as his or her voluntary act and deed

Signature of Notary Public

Notary Seal

Date

Printed by the authority of the State of Illinois. Electronic only, one copy.

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