This document is a general power of attorney form that allows an individual to appoint an attorney to receive, endorse, and collect checks drawn on the United States Treasury on their behalf. The form contains blanks for the grantor and attorney names and addresses. It gives the attorney full power to sign documents and take actions necessary to secure the issuance of substitute checks. The grantor's signature must be notarized by an attesting officer. Instructions are included on submitting the completed form.
This document is a general power of attorney form that allows an individual to appoint an attorney to receive, endorse, and collect checks drawn on the United States Treasury on their behalf. The form contains blanks for the grantor and attorney names and addresses. It gives the attorney full power to sign documents and take actions necessary to secure the issuance of substitute checks. The grantor's signature must be notarized by an attesting officer. Instructions are included on submitting the completed form.
This document is a general power of attorney form that allows an individual to appoint an attorney to receive, endorse, and collect checks drawn on the United States Treasury on their behalf. The form contains blanks for the grantor and attorney names and addresses. It gives the attorney full power to sign documents and take actions necessary to secure the issuance of substitute checks. The grantor's signature must be notarized by an attesting officer. Instructions are included on submitting the completed form.
This document is a general power of attorney form that allows an individual to appoint an attorney to receive, endorse, and collect checks drawn on the United States Treasury on their behalf. The form contains blanks for the grantor and attorney names and addresses. It gives the attorney full power to sign documents and take actions necessary to secure the issuance of substitute checks. The grantor's signature must be notarized by an attesting officer. Instructions are included on submitting the completed form.
CHECKS DRAWN ON THE UNITED STATES TREASURY Know all by these Presents: That the undersigned, ____________________________ , of ___________________________________ (address) does hereby appoint _____________________________ , of ___________________________________ (address) as his/her attorney to receive, endorse, and collect checks payable to the order of the undersigned, drawn on the United States Treasury, and to execute in the name and on behalf of the undersigned, all bonds, indemnities, applications, or other documents, which may be required by law or regulation to secure the issuance of substitutes for such checks, and to give full discharge for same, granting to said attorney full power of substitution and revocation, hereby ratifying and confirming all that said attorney, or his substitute, shall lawfully do or cause to be done by virtue hereof. WITNESS the signature of the undersigned, this _________day of __________________ , 20 ____ ________________________________ (Signature of grantor) * Personally appeared before me the above-named ________________________________________________ known or proved to me to be the same person who executed the foregoing instrument, and acknowledged to me that he executed the same as his free act and deed. WITNESS my signature, official designation, and seal. ________________________________ [IMPRESS SEAL HERE] (Signature of attesting officer) ________________________________ (Official designation) Dated at ____________________ , this ______ day of ____________________ , 20 _____ My commission expires ______________________, 20 _____ IMPORTANT Do not execute this instrument without first reading the instructions on the next page. Exact compliance with these instructions will avoid complications. * See Instructions on next page Paragraphs 2(a) and 2(b) DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE FMS 231 (SUPERSEDES SF 231 (DECEMBER 1974) FORM 1-04 The Chief Financial Officer IIE, 809 United Nations Plaza, NY, NY 10017 Reset INSTRUCTIONS FMS FORM 231
Complete the following items on the General Power of Attorney (FMS form 231)
1) Type or print your name (you are the undersigned)
2) Type or print your address (the form needs your current address as of the date that you are signing this Form 231.
3) You are the Grantor and so you have to sign and date Form 231 in front of a Notary Public. Please ask a Notary Public to notarize your signature on the Form 231. (Your International Student Office may have a person who is a Notary Public or may be able to tell you where to find a Notary Public). If possible please ask the notary to use a stamp instead of a seal since it is easier when Grantax is making copies of your form 231.
Please submit your completed & notarized form 231 with your tax documents to Grantax by fax (212-984-5553), email (grantax3@iie.org) or regular mail to Grantax/IIE, 809 United Nations Plaza, 6 th Floor, NY, NY 10017-3580. Please note that IIEs email system only accepts email attachments that are 5 MB or less.
