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Fillable Printable Department of Taxation Power of Attorney - Nevada

Fillable Printable Department of Taxation Power of Attorney - Nevada

Department of Taxation Power of Attorney - Nevada

Department of Taxation Power of Attorney - Nevada

TP0019 7/12
Taxpay
®
copy
State copy
Client copy
Nevada Department of Taxation
(MBT) Power of Attorney
Know all men by these presents:
That , having its principal
office at
, does hereby constitute and appoint
Paychex, Inc.
1175 John Street
West Henrietta, NY 14586
its true and lawful attorney in fact with full power and authority to represent the said
before Nevada Department of Taxation until further notice in the following matters:
1. The presenting of completed forms for the filing and payment.
2. The obtaining of such account information as is permissible.
The legal mailing address of the undersigned shall remain the same. The undersigned will
continue to receive all correspondence and remain record of address.
This authorization cancels and supersedes all prior authorizations.
Signature of authorized officer(s):
Print Name
Date / /
Signature
Notary Public:
Date / /
(Witness)
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