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08/02/2005 00:25 2192894087 KRUGGEL, LAWTON & CO PAGE 03 <br />7. Signature of Taxpayer: If signed by a corporate officer, partner, guardian, tax matters partner /person, executor, receiver, <br />administrator or trustee on behalf of the taxpayer, I certify that 1 have the authority to execute this form <br />. on behalf of the taxpayer. <br />the following applies If the autborfred representative Is a Cerdfled Ptopeol y Tax Representative pursuant to 50 IAc 15 -5.5: <br />I understand that by authorizing JafBey M. McGowan _ as my Certified Property Tax Representative, I am aware of and accept <br />the possibility that the property value may increase as a result of filing an administrative appeal with the Property Tax Assessment Board of <br />Appeals, and that I may be compelled to appear at a hearing before the Property Tax Assessment Board of Appeals or the Department <br />of Local Government Finance. <br />I further understand that the Certified Property Tax Representative is not an attorney and may not present arguments of a legal nature on <br />my behalf. <br />M this power of attorney is not signed, dated and notarized, it will be returned. <br />819 ^�r Y s <br />i e (.. epP roe e <br />t - r v f <br />Pr aklem <br />Ph h! name of to yen - - _ <br />Deto <br />Michael J. Morris - <br />ps-i9^cd <br />0-- <br />Tana re of tegraYer <br />e (I OPP ce c <br />P&ted name of nexpayer - <br />Date signed - <br />S. Acknowl ant <br />STATE OF Z tl(�, i (X(N l <br />COUNTY OF S'f' — Z Q eQ.t- r t 55: <br />n� <br />Before me, a notary public in and for said state and county, personally appeared, this a day of 611 & i <br />�.JlJO 5 the taxpsyer(s) or a person duly authorized to sign for and on behalf of the taxpayer(a), who acknowledged the execulion of this <br />Power of atton ry o the voluntary act and deed of the taxpeyer(s). <br />5 eee ur Notary , 1 <br />A- VCC <br />county of residence <br />54 - O <br />TYped orprintcd name of tblery <br />Dale commission a irea <br />S -Ve \ v O be✓ <br />t <br />t - r v f <br />OR ENROLLMENT CARD NO. <br />LJ <br />- R - CLARATION OF REPRESE A <br />Under Wairdi s of perjury. I declare that: <br />I am were of the statutes, rules and regulations applicable to the matters specified In line 3: <br />1 am authorized to represent the taxpayer(s) identified in Part I for the tax matter(s) specified there: and <br />I am one of the following: <br />a. Certified Public Accountant - duly qualified to practice as a certified public accountant in the jurisdiction shown below. <br />b. Cartlfled Tax Representative pursuant to 501AC iS5. <br />c. Other (specify) <br />If this declaration of representative is not signed and dated, the power of attorney will he returned. <br />DESIGNATION <br />JURISDICTION (slari% etc.) <br />(Insertabove letter - a, b, or c) <br />OR ENROLLMENT CARD NO. <br />SIGNATURE <br />DATE <br />((�� {•y <br />a <br />0 - Enrolled Aum <br />IN <br />J <br />