Government Power of Attorney
I, [YOUR NAME], resident of [YOUR COMPANY ADDRESS], hereby appoint [AGENT'S NAME] of [AGENT'S ADDRESS] as my Attorney-in-Fact to act in my capacity to do any acts and exercise any powers that I could do or exercise through any governmental departments, agencies or officials, including but not limited to, the Department of the Treasury, the Internal Revenue Service and any agency or department of any state.
Purpose
This Power of Attorney is created to authorize [YOUR NAME] hereinafter referred to as the "Principal," to appoint [AGENT'S NAME], hereinafter referred to as the "Agent," to act on behalf of the Principal in specific government-related matters.
Roles and Responsibilities Transferred to the Agent
Representation in Legal Proceedings: The Agent is hereby authorized to represent the Principal in any legal proceedings, hearings, or administrative matters about government agencies, including but not limited to tax matters, regulatory compliance, and administrative hearings.
Access to Government Records and Information: The Agent is granted full authority to access and obtain any government records, information, or documentation necessary for the fulfillment of the Principal's obligations or interests, subject to applicable laws and regulations.
Submission of Government Forms and Applications: The Agent is empowered to complete, sign, and submit any government forms, applications, or other documents on behalf of the Principal, including but not limited to tax returns, permit applications, license renewals, and official correspondence.
Negotiation and Settlement: The Agent is authorized to negotiate, enter into, and settle agreements or disputes with government agencies, officials, or representatives on behalf of the Principal, provided such actions are in the best interest of the Principal and within the scope of this Power of Attorney.
Payment of Government Obligations: The Agent is given the authority to make payments, including taxes, fees, fines, or other financial obligations owed to government entities, using funds from the Principal's accounts or assets, as deemed necessary and appropriate.
Governing Law
This Power of Attorney shall be governed by and construed by the laws of the [State/Country] without regard to its conflicts of law principles. Any disputes arising out of or in connection with this Power of Attorney shall be subject to the exclusive jurisdiction of the courts located in [State/Country], to which the parties hereby irrevocably submit.
Signature Section
The Agent accepts the responsibilities outlined in this Power of Attorney and agrees to act in the best interests of the Principal.
Principal:
[YOUR NAME]
Agent:
[AGENT'S NAME]
WITNESS ACKNOWLEDGEMENT
We, the undersigned witnesses, hereby acknowledge that the above-named Principal has signed this Power of Attorney in our presence on the date stated above.
Witness 1:
[WITNESS 1 FULL NAME]
[DATE]
Witness 2:
[WITNESS 2 FULL NAME]
[DATE]
NOTARY ACKNOWLEDGEMENT
On this day of in the year , before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
Witness my hand and official seal.
[NOTARY PUBLIC'S NAME]
My Commission Expires:
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