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Estate Tax Power Of Attorney ET-14 - New York
| Estate Tax Power Of Attorney Form. This is a New York form and can be used in Dept Of Taxation And Finance Statewide . |
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Estate Tax ET-14 (1/00) Power of Attorney Read all the instructions on the back. These instructions explain how th e Department will interpret certain information entered on this power of a ttorney. 1. Executors Information Print or type your name, social security number, and mailing address in the space provided Executors name Executors SS number Mailing address City, village, town, or post office State ZIP code The executor named above appoints the person(s) named below as his/her attorney(s)-in fact: 2. Representative information (Representative must sign and date this form on back.) Representatives name Mailing address (include firm name, if any) Telephone/fax number to represent the executor before the Department of Taxation and Finance in connection with the following estate: 3. Estate information Decedents name Social Security number County or residence Date of death with full power to receive confidential information and to perform any a nd all acts that the executor can perform with respect to tax matters, including executing waivers of restriction on assessments of de ficiencies, and consent to extension of any statutory or regulatory time limit. If you do not want any of the above representative(s) to have full power as describe d above, check this box and see instructions........................................................................ .........................................................................................................4. Retention/revocation of prior Power(s) of Attorney The filing of this power of attorney automatically revokes all earlier p ower(s) of attorney on file with the New York State Department of Taxation and Finance for the above estate. If you do not want to revoke a prior power of attorney, check this box. Attach a copy of any power of attorney you want to remain fully in effect..........................................................................................................................5. Notices and decisions Copies of statutory notices addressed to the executor involving the abov e estate will be sent to the first representative named above. If you do not want notices sent to the first representative named above, enter the nam e of the representative designated above (or on the attached power of attorney previously filed ) that you want to receive notices 6. Executor Signature Signature Date 7. Acknowledgment or witnessing the Power of Attorney This Power of Attorney must be acknowledged before a notary public or witnessed by two disinterested individuals, unless the appointed representative is licensed to practice in New York State as an attorney-at-law, certified public accountant, or public accountant, or is a New York State resident enrolled as an agent to practice before the Internal Revenue Service. The person signing as the above executor appeared before us and certifie d that he or she had the authority to execute this power of attorney. Name of witness (print and sign) Date Name of witness (print and sign) Date Title/Relationship of witness (please type or print) Title/Relationship of witness (please type or print) Acknowledgment State of New York ss: County of On this day of , , before me personally came, to me known to be the person described in the foregoing Power of Attorney; and he/she acknowledged thathe/she executed the same. Signature of Notary Public Date Notary public: affix stamp (or other indication of notarys authority) American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2ET-14 (1/00) (back) 8. Declaration of representative (to be completed by representative) I agree to represent the above-named executor in accordance with this po wer of attorney. I affirm that my representation will not violate the provisions of the Ethic s in Government Act restricting appearances by former TaxDepartment employees. I have read a summary of these restrictions reprod uced in the instructions to this form. I am (indicate all that apply): 1 an attorney-at-law licensed to practice in New York State 2 a certified public accountant duly qualified to practice in New York State 3 a public accountant enrolled with the New York State Education Department 4 an agent enrolled to practice before the Internal Revenue Service 5 Other Designation Preparers tax identification number (insert appropriate number (PTIN) or representatives Signature Date from above list) social security number Instructions General instructions copies of notices to be sent to a different representative named in section 2, or a representative on a previously filed power of attorney, enter the name of thePurpose of form. Use Form ET-14, Estate Tax Power of Attorney, as evidencerepresentative you want to receive copies of notices. If you do not want copies ofthat the individual(s) named as representative(s) have the authority to obligate,notices to go to any of your representatives, write none.bind, or appear on your behalf before the New York State Department of Taxation 6. Executor signature and Finances Division of Taxation (the Department). The individual(s) named as representative(s) may receive confidential information concerning esta te tax.Form ET-14 must be signed and dated by the executor. The Department mayUnless you indicate otherwise, he or she may also perform any and all ac ts yourequire the executor, or his or her representative, to provide identification andcan perform, such as consenting to extending the time to assess tax or e xecutingevidence of his or her authority to execute this power of attorney.consents agreeing to a tax adjustment. However, authorizing someone to The term executor includes executrix, administrator, administratix, or personalrepresent you by a power of attorney does not relieve you of your tax ob ligations. representative of the decedents estate; if no executor, executrix, administrator,A photocopy or facsimile transmission (fax) is acceptable. administratix, or personal representative is appointed, qualified, and a cting within the United States, executor means any person in actual or constructive2. Representative information possession of any property of the decedent. Enter your representatives name, mailing address (including firm name if 8. Declaration of representative applicable), and telephone number. Also include an e-mail address and fax number, if applicable. Only individuals may be named as representatives. YouYour representative(s) must sign and date this declaration
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