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POWER OF ATTORNEY AND (Rev. 2/2/18) DECLARATION OF ...

5 Receipt of Refund Checks - If you want to authorize a representative named in line 2 to receive, BUT NOT TO ENDORSE OR CASH refund checks, initial here and list the name of that representative below. Name of representative to receive refund check(s) Telephone No. Fax No. Check if new: Address Telephone No. Telephone No. Fax No. Check if new: Address Telephone I POWER of AttorneyPlan number ( if applicable)to represent the taxpayer(s) before the SC Department of Revenue for the following tax matters:Name and address of specific individual Social Security number(s)Daytime telephone number Employer identification numberTaxpayer name(s) and address ()

Treasury Department Circular No. 230 (31 CFR, Part 10) prohibits an attorney, CPA, or enrolled agent, any of whom is an income tax return preparer, from endorsing or otherwise negotiating a tax refund check. If you are in a licensed attorney/client relationship, your refund may be sent to your licensed attorney.

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