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Louisiana Free Printable  for 2024 Louisiana Power of Attorney and Declaration of Representative

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Power of Attorney and Declaration of Representative
Form R-7006

R-7006 (8/23) Power of Attorney and Declaration of Representative PART I. POWER OF ATTORNEY Taxpayer(s) must sign and date this form on page 2. 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 State ZIP Spouse’s Social Security Number (if a joint return) 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 2, Part II. Name Firm Street Address City State ZIP Telephone Number ( ) Fax number ( ) E-mail Address 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 ■ Individual income tax ■ Corporate income/franchise tax ■ Special Fuels tax ■ Tobacco tax Year(s) or Period(s) Tax Type Year(s) or Period(s) ■ Sales and use tax ■ Withholding tax ■ Gasoline tax ■ Other (Please specify.) DELETIONS. Mark or list any specific deletions to the acts otherwise authorized in this power of attorney. ■ Sign the return(s) for the above tax matters. ■ Execute an agreement to suspend prescription of tax. ■ 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. ■ Obtain a private letter ruling on behalf of the taxpayer. ■ Other prohibited acts. (List prohibited acts.) _____________________________________________________________________________________________________________ R-7006 (8/23) Page 2 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 Title Date (mm/dd/yyyy) is a corporation, partnership, executor or administrator Part II. DECLARATION OF REPRESENTATIVE Under penalties of perjury, I declare that: • 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; and • 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)
Extracted from PDF file 2023-louisiana-form-r-7006.pdf, last modified March 2009

More about the Louisiana Form R-7006 Individual Income Tax TY 2023

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 February 2024, so this is the latest version of Form R-7006, fully updated for tax year 2023. 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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Other 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 IT-540 Resident Income Tax Return
Form R-540INS (Obsolete) Refund Request of LA Citizens for Property Insurance-Individual
Form 540V Electronic Filing Payment Voucher
R-1300 Employee Withholding Exemption Certificate (L-4)
Form IT-540B Nonresident Income Tax Return

Download all LA tax forms 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 February 2024.

Show Sources >

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 seven 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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