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Form 2848(Rev.2-2020) Page 2
<br /> b Specific acts not authorized.My representative(s)is(are)not authorized to endorse or otherwise negotiate any check(including directing or
<br /> accepting payment by any means,electronic or otherwise,into an account owned or controlled by the representative(s)or any firm or other
<br /> entity with whom the representative(s)is(are)associated)issued by the government in respect of a federal tax liability.
<br /> List any other specific deletions to the acts otherwise authorized in this power of attorney(see instructions for line 5b):
<br /> 6 Retention/revocation of prior power(s) of attorney. The filing of this power of attorney automatically revokes all earlier power(s) of
<br /> attorney on file with the Internal Revenue Service for the same matters and years or periods covered by this document.If you do not want
<br /> to revoke a prior power of attorney,check here ► ❑
<br /> YOU MUST ATTACH A COPY OF ANY POWER OF ATTORNEY YOU WANT TO REMAIN IN EFFECT.
<br /> 7 Signature of taxpayer. If a tax matter concerns a year in which a joint return was filed, each spouse must file a separate power of attorney
<br /> even if they are appointing the same representative(s). If signed by a corporate officer, partner, guardian, tax matters partner, partnership
<br /> representative(or designated individual,if applicable),executor,receiver,administrator,or trustee on behalf of the taxpayer,I certify that I have
<br /> the legal authority to execute this form on behalf of the taxpayer.
<br /> ►IF NO -• V • = ED,SIGNED,AND DATED,THE IRS WILL RETURN THIS POWER OF ATTORNEY TO THE TAXPAYER.
<br /> VMA Pt/it?
<br /> Date Title(if app!cable)
<br /> CASStE City of Everett VEBA Trust
<br /> Print name Print name of taxpayer fro !ne 1 if other th n individual
<br /> Part II Declaration of Representative
<br /> Under penalties of perjury,by my signature below I declare that:
<br /> •I am not currently suspended or disbarred from practice,or ineligible for practice,before the Internal Revenue Service.
<br /> •I am subject to regulations contained in Circular 230(31 CFR,Subtitle A,Part 10),as amended,governing practice befor@MI6 r It a ;
<br /> •I am authorized to represent the taxpayer identified in Part I for the matter(s)specified there;and APPROVED A 0
<br /> •I am one of the following: David C.Hall,City Attorney
<br /> a Attorney—a member in good standing of the bar of the highest court of the jurisdiction shown below.
<br /> b Certified Public Accountant—a holder of an active license to practice as a certified public accountant in the jurisdiction shown below.
<br /> c Enrolled Agent—enrolled as an agent by the IRS per the requirements of Circular 230.
<br /> d Officer—a bona fide officer of the taxpayer organization.
<br /> e Full-Time Employee—a full-time employee of the taxpayer.
<br /> f Family Member—a member of the taxpayer's immediate family(spouse,parent,child,grandparent,grandchild,step-parent,step-child,brother,or sister).
<br /> g Enrolled Actuary—enrolled as an actuary by the Joint Board for the Enrollment of Actuaries under 29 U.S.C.1242(the authority to practice before
<br /> the IRS is limited by section 10.3(d)of Circular 230).
<br /> h Unenrolled Return Preparer—Authority to practice before the IRS is limited.An unenrolled return preparer may represent,provided the preparer(1)
<br /> prepared and signed the return or claim for refund(or prepared if there is no signature space on the form);(2)was eligible to sign the return or
<br /> claim for refund;(3)has a valid PTIN;and(4)possesses the required Annual Filing Season Program Record of Completion(s).See Special Rules
<br /> and Requirements for Unenrolled Return Preparers in the instructions for additional information.
<br /> k Qualifying Student—receives permission to represent taxpayers before the IRS by virtue of his/her status as a law,business,or accounting
<br /> student working in an LITC or STCP.See instructions for Part II for additional information and requirements.
<br /> r Enrolled Retirement Plan Agent—enrolled as a retirement plan agent under the requirements of Circular 230(the authority to practice before the
<br /> Internal Revenue Service is limited by section 10.3(e)).
<br /> ►IF THIS DECLARATION OF REPRESENTATIVE IS NOT COMPLETED,SIGNED,AND DATED,THE IRS WILL RETURN THE
<br /> POWER OF ATTORNEY. REPRESENTATIVES MUST SIGN IN THE ORDER LISTED IN PART I, LINE 2.
<br /> Note:For designations d—f,enter your title,position,or relationship to the taxpayer in the"Licensing jurisdiction"column.
<br /> Designation— Licensing jurisdiction Bar,license,certification,
<br /> Insert above (State)or other registration,or enrollment Signature Date
<br /> letter(a—r). licensing authority number(if applicable)
<br /> (if applicable)
<br /> a MN 0252086
<br /> Form 2848(Rev.2-2020)
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