Laserfiche WebLink
POWER OF ATTORNEY ikOV <br /> State Form 23261(R7/F10) I <br /> Prescribed by the Department of Local Govamment Finance <br /> Please TYPE or PRINT • !`!'; $fir/s-7¢—, <br /> PART I-POWER OF ATTORNEY <br /> 1. Taxpa at Information Tax yer must sign and date this form on page 2,line 7 and he"the form notarized on page Z,fine a.) <br /> Name of texpayer(s) <br /> DEMBY ENTERPRISES LLC <br /> Addresses)of taxpayer(s)(number and scree{city,stele,and ZIP code) <br /> 1228 E. Jefferson Blvd, South Bend, IN 46617 <br /> Last four digits of Social Security Number Employer identification number Telephone number <br /> x x x-x x- 35-2094454 ( 574 ) 277-3322 <br /> The above named taxpayer does hereby appoint the following representaflve(s)as attomey(s)in fact: <br /> 2. Representative Information(Re -----1ative must 02n and date this form on page 2,Pan n. <br /> Name of representative <br /> JEFFREY M MCGOWAN, CPA CGMA, LEVEL II ASSESSOR-APPRAISER <br /> Address of representative(number end sneer,cify,slate,end Z/P code) <br /> KRUGGEL LAWTON CPAs, 210 S. MICHIGAN STEET, SUITE 200, SOUTH BEND, IN 46601 <br /> Telephone number Fax number Check It <br /> ( 574 ) 289-4011 ( 574 )289-4087 ❑ New address ❑New telephone number <br /> Name of representative <br /> Address o/representative(number antl street,cXy,stare,end ZlP code) <br /> Telephone number Fax number Check d- <br /> ( ) ( ) ❑New address ❑New telephone number <br /> to represent the taxpayer(s)for the following matters before the: <br /> ® Department of Local Government Finance ❑Indiana Board of Tax Review ® ST JOSEPH County Property Tax Assessment Board of Appeals <br /> F3.Tax Matters <br /> Type of Tax(real property,personal property) Tax Form Number(130,131,133,177,etc.) Year(s)or Periods) <br /> REAL PROPERTY SB-1, CF-1/Real Property, Form 322/RE 2013 - 2023 <br /> REAL PROPERTY City of South Bend Petition for Incentives 2013-2023 <br /> 4.Acts Authorized: The representatives are authorized to receive and inspect confidential tax information and to perform any and all acts that <br /> I(we)can perform with respect to the tax matters described in line 3,including the authority to sign any agreements,consents <br /> or other documents. <br /> List any sparse additions or deletions to the ac's otherwise authorized In this power of attorney <br /> 5.Notices and Communications: Notices and other communications will be sent to the first representative listed in line 2. <br /> If you also want the second representative listed to receive such notices and cemmunications,check this box, ❑ <br /> 6.Retention/Revocation of Prior Power(s)of Attorney: The filing of this power of attomey automatically revokes ail earlier power(s)of attorney with <br /> the County Property Tax Assessment Board of <br /> Appeals, <br /> Department of Loral Government Finance,or Indiana Board of Tax Review for the same tax <br /> matters and years or periods covered by this document <br /> N you do not want to revoke a prior power of attorney,check this box. ❑ <br /> You must attach a ropy of any power of attomey you wish to remain In effect. <br /> Page 1 of 2 <br />