Alaska Power of Attorney

Power of Attorney
Form 774
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774

Alaska Power of Attorney

FEIN

Telephone Number

SSN
Taxpayer Name

Email Address

Mailing Address

City

INDIVIDUAL

PARTNERSHIP

State

CORPORATION

ZIP Code

LIMITED LIABILITY COMPANY

OTHER
I hereby appoint: [Enter below the name(s), address (including ZIP code), telephone number and facsimile number of individual
appointee(s). Appointee(s) must sign the declaration on page 2.]
Appointee Name

Appointee Name

Appointee Firm

Appointee Firm

Appointee Address

Appointee Address

City

State

ZIP Code

Telephone Number

Fax Number

City

State

ZIP Code

Telephone Number

Fax Number

as attorney-in-fact to represent the taxpayer with respect to the following Alaska tax matters:
From tax year/period

To tax year/period

Check this box for all tax types or check boxes for specific tax types below:
Alaska Seafood Marketing

Estate

Oil and Gas Production

Alcoholic Beverage

Film Production Tax Credits

Oil and Gas Property

Charitable Gaming

Fisheries Business

Regional Seafood Development

Commercial Passenger Vessel

Fishery Resource Landing

Salmon Enhancement

Common Property Fishery

Large Passenger Vessel

Tire Fee

Corporate Income

Marijuana

Tobacco

Credit App Submitted on (_____________)

Mining License

Telephone Cooperative

Dive Fishery Management

Motor Fuel

Vehicle Rental

Electric Cooperative
Send a carbon copy of assessments and decisions in proceedings involving the above tax matters to attorney-in-fact.
The attorney-in-fact shall, subject to revocation, have authority to receive confidential information and full power and authority to
perform on behalf of the taxpayer all acts with respect to the above tax matters except as follows:
(Check all boxes for powers which are not granted.)
To represent the taxpayer in administrative proceedings.
To receive, but not to endorse and collect, checks in payment of any refund of Alaska Department of Revenue taxes, penalties,
or interest.
To execute waivers (including offers of waivers) of restrictions on assessment or collection of deficiencies in tax and waivers of
notice of disallowance of a claim for credit or refund.
To execute consents extending the statutory period for assessment or collection of taxes.
To execute closing agreements and stipulations.
Other powers not granted: (Specify)
File through Revenue Online at https://online-tax.alaska.gov

0405-774 05-06-16 - page 1

Form

774

Alaska Power of Attorney

This power of attorney revokes all prior powers of attorney filed with respect to the same matters and years or periods covered by this
instrument, except the following: (Specify and attach copies of the powers of attorney)

Signature of Taxpayer – If signed by a corporate officer, partner, or fiduciary on behalf of the taxpayer, I certify that I have the authority to
execute this power of attorney on behalf of the taxpayer.
Signature
Date
Printed Name

Printed Title

DECLARATION OF REPRESENTATIVE
The undersigned representative hereby declares under the penalty of unsworn falsification that he/she is an individual authorized to
represent a taxpayer before the Department of Revenue and that he/she is authorized to represent the named taxpayer in this matter.

Signature

Date

Signature

Date

POWER OF ATTORNEY INFORMATION
USE THIS FORM TO GRANT AUTHORITY TO AN INDIVIDUAL TO REPRESENT YOU BEFORE THE DEPARTMENT AND TO
RECEIVE TAX INFORMATION.
An individual who is not the taxpayer must be a recognized representative before the individual may represent a taxpayer before the
Department of Revenue. A recognized representative is an individual who is appointed as an attorney-in-fact under a power of attorney
and who is an attorney in good standing in any state, a certified public accountant licensed in any state, an individual enrolled to
practice before the Internal Revenue Service and is in active status, or an individual in a special status with a taxpayer. An individual in
a special status with a taxpayer includes an officer or regular full-time employee of a corporation or other organization or employer, or
an individual who is a member of the immediate family of the taxpayer. An individual who prepares or signs a return may represent a
taxpayer with respect to that return. Upon written application and in the discretion of the department, an individual other than the one
described above may represent a taxpayer in a particular matter.
A power of attorney is a document signed by the taxpayer by which another individual is given the authority to appear before the
department and act for the taxpayer. An attorney-in-fact is an agent who is authorized by the taxpayer under the power of attorney to
act on behalf of the taxpayer. The acts of the attorney-in-fact are binding on the taxpayer. A power of attorney may be general or it may
be limited. The department form conveys a general power of attorney; a taxpayer must designate on the form if the powers granted to
the representative are limited.
Generally, the power of attorney encompasses all matters relating to a taxpayer’s rights, privileges, or liabilities under laws and regulations
administered by the department. This includes, for example, such things as the preparation and filing of necessary documents, receipt
of otherwise confidential tax particulars, correspondence and communication with department personnel, and representation of a
taxpayer at audits, conferences, hearing, and other meetings.
Forms filed through Revenue Online are considered original forms and do not need to be mailed in. The original of this form,
if not filed through Revenue Online, must be mailed to the department.

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