Form 2848 (Revised 6-2008) Page 2

Summary: This is an example of Form 2848 (Revised March 2004), page 2, filed to provide power of attorney information to the Airs regarding a third party involved with a taxpayer's matters with items included as described in the text. Additionally, these line items are completed:

Under Part II: Declaration of Representative:
- Designation--Insert above letter (a-h) field contains c (I am one of the following: Enrolled Agent--enrolled as an agent under the requirements of Treasury Department Circular Number 230.)
- Jurisdiction (state) or Enrollment Card Number field contains 90-99999
- Signature field contains Jim Smith
- Date field contains 2/21/04

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