Louisiana Department of Revenue Power of Attorney and Declaration of Representative (R-7006)
For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Select role
*
I am new Employer generating the form electronically
I am an existing Employer generating the form electronically
I need to print the form
Click the print icon in the top right corner to print
Back
Next
Save & Finish Later
Louisiana Department of Revenue Power of Attorney and Declaration of Representative (R-7006)
For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Employer Legal Name
*
Legal First Name
Legal Last Name
Employer Email
*
example@example.com
Employer Address
*
Street Address
Apartment or Unit Number
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Employer Social Security Number
*
HIDE- Firm
HIDE- Address 1
HIDE- Address 2
HIDE- Address 3
HIDE- Address 4
HIDE- Email
HIDE- Designation
HIDE- Tax Type
Withholding Tax
HIDE- Payroll Email
example@example.com
Signatures
I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
Employer Signature
*
Date of Signature
*
-
Month
-
Day
Year
Date
I have clicked "Preview PDF" and reviewed my form for accuracy
*
Yes
No
Please verify that you are human
*
Preview PDF
Save & Finish Later
Submit
Clear Form
Should be Empty: