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dr486poa - Power of Attorney for Representation Before the VAB (N. 01-17)DR-486POA N. 01/17 Rule 12D-16.002 F.A.C. Eff. 01/17 POWER OF ATTORNEY FOR REPRESENTATION BEFORE THE VALUE ADJUSTMENT BOARD Section 194.034(1)(b), Florida Statutes You may use this form to grant power of attorney for representation in value adjustment board proceedings. This form or other power of attorney accompanies the petition at the time of filing. COMPLETED BY PETITIONER I, (name), appoint (name) as my attorney-in-fact to present evidence and testimony and act on my behalf in any lawful way before the County Value Adjustment Board. This power of attorney is effective immediately and is valid only for one assessment year. This power of attorney is limited to the 20 assessment year concerning the parcel(s) or account(s) below. I authorize the person I appointed above to have access to confidential information related to the following parcel(s) or account(s). Parcel ID/Account # Parcel ID/Account # Parcel ID/Account # Parcel ID/Account # Parcel ID/Account # Parcel ID/Account # Parcel ID/Account # Parcel ID/Account # This power of attorney is further limited as follows: Signature of taxpayer/owner Print name Date State of Florida County of The foregoing instrument was acknowledged before me this day of , 20 , by (name), who signed in the presence of these witnesses: Witness signature Witness signature Personally known OR produced identification Signature of Notary Public Type of identification produced Print, type, or stamp commissioned name of Notary Public