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Get Florida Department Of Revenue Power Of Attorney

Part 1 Fill in Name of applicant Mailing street address Mailing city state ZIP Location street address Location city state ZIP Business telephone number include area code Fax number include area code optional Part 2 Sign and date this form. Home telephone number E-mail address optional Under penalty of perjury I swear or affirm that this application including supporting documentation has been examined by me and is true and correct for the period.

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