Reinsman Business & Tax Advisory Reinsman Tax Resolution

CLIENT INTAKE FORM — COVID-ERA IRS PENALTY REFUND CAMPAIGN

Authorization & Information Collection for Form 2848 (Power of Attorney) and Form 8821 (Tax Information Authorization)

David Manges, Partner & Founder  |  (214) 235-6462  |  david@reinsmanconsulting.com
Asher Ladner, Partner  |  (214) 783-1097  |  asher@reinsmanconsulting.com

⚠  FILING DEADLINE: JULY 10, 2026 — THIS WINDOW DOES NOT REOPEN  ⚠
2 Business Entity Information — Form 2848 & Form 8821
One form per EIN is required. The IRS requires a separate Form 2848 and Form 8821 per EIN. Complete one block for each business entity.