State of Rhode Island Division of Taxation 
         Form RI-2848 
         Power of Attorney                                                                   14103999990101

 Taxpayer name                                                                               Social security or federal identification number

 Address                                                           City, town or post office                           State     ZIP code

 Taxpayer name                                                                               Social security or federal identification number

 Address                                                           City, town or post office                           State     ZIP code

hereby appoints:
 Power of Attorney name                                                                      Telephone number

 Address                                                           City, town or post office                           State     ZIP code

 Power of Attorney name                                                                      Telephone number

 Address                                                           City, town or post office                           State     ZIP code

as attorney(s)-in-fact to represent the taxpayer(s) before the office of the State of Rhode Island, Division of Taxation, for the following state 
matters (specify the type(s) of tax and year(s) or period(s) (date of death if this is for estate tax)):

The attorney (s)-in-fact (or either of them) are authorized, subject to revocation, to receive confidential information and to perform on behalf 
of the taxpayer (s) the following acts for the above tax matters:  
 
Check off any of the following which are NOT granted. 
  
         To receive, but not to endorse and collect, checks in payment of any refund of state taxes, penalties or interest.  
          
         To execute waivers (including offers of waivers) of restrictions on assessment or collection of deficiencies in tax and waivers of no-
         tice of disallowance of a claim for credit or refund.  
          
         To execute consents extending the statutory period for assessment or collection of taxes. To execute closing  
         agreements.  
          
         To represent taxpayer (s) at preliminary reviews and administrative hearings. (Must be an attorney, person authorized by law to prac-
         tice accountancy, or partner or corporate officer of taxpayer as provided by the Administrative Hearing Procedures.)  
  
         Other acts (specify) ______________________________________________________________________ 
  
Notices and other written communications in proceedings involving the above matters shall be sent to the above named attorney (s) so long 
as this power of attorney remains in effect.  
 
Copies to be sent to the taxpayer (s).  
 
This power of attorney revokes all earlier powers of attorney and tax information authorizations on file with the Division of Taxation office for 
the same matters and years or periods covered by this form, except the following (Specify to whom granted, date granted, and address in-
cluding ZIP code; or refer to attached copies of earlier powers and authorizations): 

                        If signed by corporate officer, partner, or fiduciary on behalf of the taxpayer, 
                         I certify that I have authority to execute this power of attorney on behalf of the taxpayer.
Taxpayer signature                                    Print name                     Title (if applicable)                   Date

Taxpayer signature                                    Print name                     Title (if applicable)                   Date

                        Mailing address: RI Division of Taxation, One Capitol Hill, Providence, RI 02908-5806           
                                                                                                                                 Revised 
                                                                                                                                 02/2021

 State of Rhode Island Division of Taxation 
 Form RI-2848 
 Power of Attorney                                                                         14103999990102

This declaration must be completed by the attorney, certified public accountant, licensed public accountant, or enrolled agent.  
 
I declare that I am not currently under suspension or disbarment from practice before the Division of Taxation and that:  
 
                  I am a member in good standing of the bar of the highest court of the jurisdiction indicated below; or  
                   
                  I am duly qualified to practice as a certified public accountant in the jurisdiction indicated below; or  
            
                  I am a licensed public accountant in the jurisdiction indicated below.  
            
                  I am actively enrolled to practice before the Internal Revenue Service.  
            
Designation                             Jurisdiction Signature                                                                                      Date
 (Attorney, CPA, LPA or enrolled agent) (State, etc)
 
If the power of attorney is granted to a person other than an attorney, certified public accountant, or licensed public accountant, or enrolled 
agent, it must be witnessed or notarized below.  
 
                            The person (s) signing as or for the taxpayer (s): (Check and complete ONE.)  
            
                  is/are known to and signed in the presence of the two disinterested witnesses whose signatures appear here:  
            
                            Signature of witness                                                                                              Date 
 
                            Signature of witness                                                                                              Date 
 
                  appeared this day before a notary public and acknowledged this power of attorney as a voluntary act and deed  
            
                            Signature of notary                                                                                                Date 
 
                                                                                                                                                                                                        NOTARIAL SEAL