AUTHORIZATION OF AGENT
Patrick Devine – Foreign Grantor Owned Trust hereby expressly authorizes Patrick
Devine, esq. to act as its agent solely for the purposes of sections 7602, 7603 and 7604 of the
Internal Revenue Code with respect to any request to examine records or produce testimony
related to the proper treatment of amounts required to be taken into account under the rules of
section 6048(b)(1)(A) or to any summons for such records or testimony. I certify that I have the
authority to execute this authorization of agent to act on behalf of Patrick Devine – Foreign
Grantor Owned Trust.
Signature:___________________________________
Patrick Devine, esq; the Commercial Named
Person, Trust Beneficial Owner/Executor/Trustee
c/o 18463 – 208th Avenue
Sigourney, Iowa 52591
Address
Patrick Devine, esq. accepts this appointment to act as agent for Patrick Devine –
Foreign Grantor Owned Trust for the above purpose. I certify that I have the authority to
execute this authorization of agent to act on behalf of Patrick Devine – Non Withholding
Foreign Grantor Owned Trust and agree to accept service of process for the above purposes.
________________________________________ Beneficial Owner/Executor _____________
Signature of Agent Title Date
Patrick Devine, esq.
Your Name (type or print)
xxx-xx-xxxxxx (State of Iowa Citizenship Identification Number)
Identification Number (if any)
c/o 18463 – 208th Avenue, Sigourney, Foreign State of Iowa 52591
Address
