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                                                                                                             Sales Tax Division

                                                POWER OF ATTORNEY
                   For City of Colorado Springs administered Sales and Use Tax Matters

SECTION 1.  Taxpayer Information and Identification.  Taxpayers must sign.
Taxpayer Name(s) and address (include any trade name or DBA)                                  Daytime phone number
                                                                                              Social Security Number for Individual
                                                                                              Second Social Security Number (if using jointly)

                                                                                              City Tax ID Number
SECTION 2.  Representative: Taxpayer appoints the following representative as Attorney in Fact
Name and address                                                                              Phone Number

                                                                                              Fax Number

                                                                                              Attorney Reg Number or FEIN (if applicable)

SECTION 3.  Tax matters approved for representation:
_____  City Sales Tax       _____  All other City administered Taxes      Period From __________  To __________
_____  City Use Tax         _____  All other City Administered Use Taxes  Period From __________  To __________
SECTION 4. Acts Authorized -Representative is authorized to receive and inspect confidential tax information and records and to
perform any and all acts that the taxpayer named above can perform with respect to the tax matters described in Section 3.                    The
authority does not included the power to receive refund checks or the acts specifically deleted in Section 5.
SECTION 5.  Added or Deleted Acts - List any specific additions/deletions to the acts otherwise authorized in this power of attorney.

SECTION 6. Retention/Revocation of Prior Powers of Attorney      - The filing of this power of attorney automatically revokes all earlier
powers of attorney on file with the City of Colorado Springs for the same tax matters and periods covered by this document. If you do
not want to revoke a prior powers of attorney, check here _____
ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT.
SECTION 7.  Signature of Taxpayer
Signature                                                                 Date
Print Name                                                                Title

Signature                                                                 Date
Print Name                                                                Title

SECTION 8.  Declaration of representative - I am authorized to represent the taxpayer(s) identified in Section 2 for the tax matter(s)
specified.
Signature                                                   Title                             Date
I represent the taxpayer(s) identified in #1 as:
                     CO attorney, Reg #                             attorney registered in 
                     CO licensed CPA                                CPA  licensed in
                     Full time employee of taxpayer                 Enrolled Agent
                     Other, explain

                                                                                                                  Form ST390
                                                                                                                                   Rev 4/08





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