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Power and Declaration of Representation

Government of Puerto RicoDepartment of the TreasuryPower and Declaration of RepresentationForm AS 2745-ARev. Oct 26 16 Rep. Feb 1 171. Taxpayer's information (In case of individuals, include name, initial, last name and second last name. If you are married and filing jointly, you must complete the spouse's information)Representative's name and addressTelephone numberTelephone numberRegistration numberRegistration numberFax numberFax numberCheck (w) if changed:Address Q Telephone QCheck (w) if changed:Address Q Telephone QRepresentative's name and address3. Tax matterType of tax (Income, Excise, Employment, etc.)

Government of Puerto Rico Department of the Treasury Power and Declaration of Representation Form AS 2745-A Rev. Oct 26 16 Rep. Feb 1 17 1. Taxpayer's information (In case of individuals, include name, initial, last name and second last name.

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