Form 6750i Fillable Application for Voluntary Disclosure Instructions
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

a description of the entity s business activities; AS 43 05 220(a) failure to make and file a return; AS 43 05 220(a) failure to pay tax; AS 43 05 220(b) negligence or intentional disregard; AS 43 05 220(c) fraud; Be a corporation S corporation partnership or limited liability fails to continue to comply with Alaska tax law fails to file returns or pay taxes for the periods covered by the Have never filed a return with the DOR; Have not been the subject of an inquiry by the DOR Have voluntarily come forward prior to any unilateral contact Internal Rev Code 6655 failure to pay estimated tax; Internal Rev Code 6698 failure to file a partnership return; Internal Rev Code 6699 failure to file an S corporation misrepresents material facts relevant to the agreement; reneges on an installment payment arrangement; the facts giving rise to the offer to enter into the Voluntary the number of corporate partners or members if the entity the settlement terms proposed; and understates the tax liability for any year covered by the with respect to liability for income taxes; and 001 which should be used in subsequent correspondence once 0405 6000 Corporate Net Income Tax Return (standard) 0405 6020 Corporate Net Income Tax Return (short) 0405 6100 Oil & Gas Corporate Net Income Tax Return 0405 6750i Rev 01/01/15 page 1 0405 6900 Partnership Information Return 1 Indicate the type of business entity applying to participate 2 State each tax year to be covered by the agreement 3 Answer the questions in Part II If the entity answers yes to any additional information is required DOR may accept the entity s agreement and cannot show good faith effort to accurately agreement DOR will waive its authority to assess taxes additions agreement is executed agreement will be null and void agreement; Alaska tax liability only for the immediately preceding five income An authorized representative must sign the application and/or any tax as required by the agreement the voluntary disclosure applicants may have a representative contact the Department of application The entity should remain anonymous until the applying for VDP is an LLC or is a partnership Note: AS 43 05 010 and AS 43 05 080 permit the DOR to enter into assign program applicants an identifying number such as VDA 06 authorized to represent the entity in the Voluntary Disclosure business entities that may have incurred an unpaid Alaska income business entity s representative The representative must be Certain events will nullify the voluntary disclosure agreement choose to participate in the VDP will be required to disclose their Common Forms company to the DOR until the agreement is executed DOR will company; Completing The Form computations compute the tax liability; or disclosure agreement the DOR may not assess any or all of the Disclosure Program (VDP) is to encourage corporations and other Disclosure Program; disclosure@alaska gov DOR receives the application due Show the estimate by year along with the accompanying Enter the name address and telephone number of the qualified entity that meets all of the following criteria It must: following penalties for the income years covered by the agreement: for Voluntary Disclosure to apply To remain anonymous program from the DOR and completed both an application for General Information If DOR determines that there are any material misstatements If the qualified business entity fully complies with the voluntary if the qualified business entity: immediately prior to the date the agreement is signed DOR may in order to obtain voluntary compliance with the tax laws of the in the Voluntary Disclosure Program Include the following information in Exhibit 1: income years covered by the voluntary disclosure agreement Instructions For Alaska Application for Instructions for Filing Form 0405 615 Application for Introduction members are not required to file in Alaska and are not eligible Need Help? Contact us at 907 269 6620 or e mail dor tax Note: At present the VDP is only availabe for corporate net income number of the entity choosing to participate in the VDP on the of fact or tax liability or the entity fails to file any returns or pay of the company or any information that could readily identify the of the questions in Part II stop The entity does not qualify to On Exhibit 2 include a statement with your estimate of taxes Only qualified business entities are eligible to participate in the Part I Part II Part III Part IV Part V participate in the Voluntary Disclosure Program partnerships or LLCs that have only individual partners/ Penalties Waived preceding taxable or income years Program Note: Do not disclose the name address or telephone proposed settlement based on the information available proposed settlement modify the proposed settlement or reject the publications listed above Our Internet address is: Qualified Business Entities Qualified business entities that choose to participate in the return Revenue Company representatives should not reveal the name State of Alaska Qualified business entities that participate in the statement of its activities in Alaska for the five immediately tax liability and/or have an unfulfilled tax return filing requirement The Department of Revenue will contact the representative if The purpose of the Department of Revenue s (DOR) Voluntary to disclose their liability voluntarily Qualified business entities that to participate in the VDP to taxes or penalties for the income years ending prior to the five VDP are required to file returns for the five income years ending Violation of the Agreement Voluntary Disclosure voluntary disclosure agreement and a full and accurate voluntary disclosure agreements with any qualified business entity Voluntary Disclosure Program A qualified business entity is an Voluntary Disclosure Program must use Form 0405 615 Application waive penalties associated with the return filings As part of the would like the forms sent to you by mail www tax alaska gov years DOR may waive penalties associated with the return filings You may call the number below or send an e mail request if you You may download view and print Alaska income tax forms and