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Get AK DoR 774 2016

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.

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