Louisiana Power of Attorney and Declaration of Representative


Extracted from PDF file 2024-louisiana-form-r-7006.pdf, last modified April 2024Power of Attorney and Declaration of Representative
R-7006 (4/24...revised 5/24) Power of Attorney and Declaration of Representative Mail to: Louisiana Department of Revenue Revenue Processing Center Special Tax Programs Unit P.O. Box 201 Baton Rouge, La 70821-0201 For Questions: Phone: (855) 307-3893 PART I. POWER OF ATTORNEY Taxpayer(s) must sign and date this form below. PLEASE TYPE OR PRINT Your Name or Name of Entity Spouse’s Name, if a joint return (or corporate officer, partner or fiduciary, if a business) Street Address City Social Security/Louisiana or Federal ID Number Spouse’s Social Security Number (if a joint return) State ZIP I/we appoint the following representative as my/our true and lawful agent and attorney-in-fact to represent me/us before the Louisiana Department of Revenue. The representative is authorized to receive and inspect confidential information concerning my/our tax matters and to perform any and all acts that I/we can perform with respect to my/our tax matters, unless noted below. Modes of communication for requesting and receiving information may include telephone, e-mail, or fax. The authority does not include the power to receive refund checks, the power to substitute another representative, the power to add additional representatives, or the power to execute a request for disclosure of tax returns or return information to a third party. Representative must sign and date this form on page 3, Part II. Name Firm Street Address City Telephone Number Fax number ( ) ( ) State ZIP E-mail Address NOTICES AND COMMUNICATIONS. Original notices and other written communications will be sent only to you, the taxpayer. Your representative may request and receive information by telephone, e-mail, or fax. Upon request, the representative may be provided with a copy of a notice or communication sent to you. If you want the representative to request and receive a copy of notices and communications sent to you, check this box. ■ Signature of Taxpayer(s). If a tax matter concerns a joint return, both husband and wife must sign if joint representation is requested. If signed by a corporate officer, partner, guardian, tax matters partner, executor, receiver, administrator, or trustee on behalf of the taxpayer, I certify that I have the authority to execute this form on behalf of the taxpayer. IF THIS POWER OF ATTORNEY IS NOT SIGNED AND DATED, IT WILL BE RETURNED. Taxpayer signature Date (mm/dd/yyyy) Spouse signature Date (mm/dd/yyyy) Signature of duly authorized representative, if the taxpayer is a corporation, partnership, executor, or administrator Title Date (mm/dd/yyyy) 92420 R-7006 (4/24...revised 5/24) Page 2 Acts Authorized. Mark only the boxes that apply. By marking the boxes, you authorize the representative to perform any and all acts on your behalf, including the authority to sign tax returns, with respect only to the indicated tax matters: Tax Type ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Year(s) or Period(s) Audit - Motor Vehicle Sales Audit - Natural Gas Franchise Automobile Rental Corporation Income & Franchise Consumable Hemp Products Direct Marketer Electric Co-op Ernest N. Morial Convention Center Service Contractor Tax Excise - Alcohol Excise - Beer Excise - Dyed Diesel Violation Excise - Gas Dealer Excise - Gas Jobber Excise - HZ Waste Excise – Inspection/Sup. Excise - SF Decal Excise - SF Supplier Excise - Telecommunication Excise - Tobacco (retired) Excise - Tobacco Returns Excise - Tobacco Stamps Excise - Trans/Comm. Excise - Vapor Retailers Excise - Wine DS Fiduciary FT-Aviation Fuel Dealer FT-Diesel Refund FT-Distrib./Export/Blender FT-Gas Refund FT-Importer Tax Type ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Year(s) or Period(s) FT-Interstate Motor Fuel User FT-Motor Fuel Backup Tax FT-Motor Fuel Floor Stock Tax FT-Motor Fuel Transporter FT-Supplier FT-Terminal Operator IFTA IFTA Jurisdiction Individual Income Natural Gas Franchise New Orleans Exhibition Hall NO Hotel/Motel (4 col) Oil Spill Contingency Fee Oilfield Site Restoration Oil Oilfield Site Restoration Gas Partnership Sales Sales Prepaid Cell Phone Severance - Gas Severance - Minerals Severance - Oil Severance - Timber Special Fuels Statewide Hotel/Motel Surface Mining Tour Tax Transportation Network Fee Withholding Withholding Non-emp. Cmp Other DELETIONS. Mark or list any of the following actions that you do NOT authorize your representative to complete on your behalf. ■ ■ ■ ■ ■ Sign the return(s) for the above tax matters. Execute an agreement to suspend prescription of tax. ■ ■ Obtain a private letter ruling on behalf of the taxpayer. Other prohibited acts (List prohibited acts.) File a protest to a proposed assessment. Execute offers in compromise or settlements of tax liability. Represent the taxpayer before the department in any proceeding, including protest hearings. 92421 R-7006 (4/24...revised 5/24) Page 3 Part II. DECLARATION OF REPRESENTATIVE Under penalties of perjury, I declare the following: • I am not currently under suspension or disbarment from practice before the Internal Revenue Service. • I am authorized to represent the taxpayer(s) identified in Part I for the tax matters specified there. • I am one of the following: (Insert applicable letter in table below.) a. Attorney—a member in good standing of the highest court of the jurisdiction shown below b. Certified Public Accountant—duly qualified to practice as a certified public accountant in the jurisdiction shown below c. Enrolled Agent—a person enrolled to practice before the Internal Revenue Service d. Officer—a bona fide officer of the taxpayer organization e. Employee—an employee of the taxpayer f. Family Member—a member of the taxpayer’s immediate family (State the relationship, i.e., spouse, parent, child, brother, or sister.) g. Other (State the relationship, i.e., bookkeeper or friend.) h. Former Louisiana Department of Revenue Employee — As a representative, I cannot accept representation in a matter with which I had direct involvement while I was a public employee. IF THIS DECLARATION OF REPRESENTATIVE IS NOT SIGNED AND DATED, THE POWER OF ATTORNEY WILL BE RETURNED. Designation-Insert Above Letter (a-h) State Issuing License State License Number Signature Date (mm/dd/yyyy) 92422
Form R-7006
More about the Louisiana Form R-7006 Individual Income Tax TY 2024
This form allows a representative to act on your behalf concerning tax matters.
We last updated the Power of Attorney and Declaration of Representative in March 2025, so this is the latest version of Form R-7006, fully updated for tax year 2024. You can download or print current or past-year PDFs of Form R-7006 directly from TaxFormFinder. You can print other Louisiana tax forms here.
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File Now with TurboTaxOther Louisiana Individual Income Tax Forms:
TaxFormFinder has an additional 34 Louisiana income tax forms that you may need, plus all federal income tax forms.
Form Code | Form Name |
---|---|
Form 540-ES | Louisiana Estimated Tax Declaration Voucher For Individuals |
Form IT-540 | Resident Income Tax Return |
Form R-540INS (Obsolete) | Refund Request of LA Citizens for Property Insurance-Individual |
Form IT-540 Tax Table | Louisiana Tax Table |
Form IT-540ES | Estimated Tax Voucher for Individuals |
View all 35 Louisiana Income Tax Forms
Form Sources:
Louisiana usually releases forms for the current tax year between January and April. We last updated Louisiana Form R-7006 from the Department of Revenue in March 2025.
About the Individual Income Tax
The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.
Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!
Historical Past-Year Versions of Louisiana Form R-7006
We have a total of eight past-year versions of Form R-7006 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
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