Iowa Representative Certification Form - Web designation of personal representative. City, state, and zip code. (1) legal name and address of the taxpayer; General and durable poa (not ia 2848) Check all of the programs that apply: Web the representative certification form must include the following information: Web new representative certification form used for people other than the taxpayer, who already have actual authority to act on the taxpayer’s behalf, e.g.; (3) name, mailing address, and. Social security number, patient number, or state id.
(1) legal name and address of the taxpayer; Web new representative certification form used for people other than the taxpayer, who already have actual authority to act on the taxpayer’s behalf, e.g.; Check all of the programs that apply: General and durable poa (not ia 2848) City, state, and zip code. (3) name, mailing address, and. Web the representative certification form must include the following information: Social security number, patient number, or state id. Web designation of personal representative.