What Does the Alaska Permanent Fund Dividend Application Include?


Quick Answer

The Alaska Permanent Fund Dividend application requires the applicant to certify that residency requirements to qualify for the fund have been met. No supporting documentation is required, but the application includes a release of information allowing the department to verify eligibility, explains the Alaska Department of Revenue.

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Full Answer

The 2015 adult certification form for the Permanent Fund Dividend requires the applicant's name, Social Security number, date of birth, mailing address, telephone number and email address, according to the Alaska Department of Revenue. The application states the following criteria have been met: the applicant intends to remain an Alaska resident indefinitely, the applicant has not claimed residency elsewhere, the applicant was an Alaska resident for the entire year prior to submitting the certification form, the applicant was physically present in Alaska for at least 72 consecutive hours in the past two years, and if an application is filed on behalf of the applicant, the information provided on the form is true.

There are both criminal and civil penalties for submitting false information on the application, notes the Alaska Department of Revenue. Criminal penalties include loss of the requested dividend along with all future dividends, and any prior dividends received must be paid back. Civil penalties include loss of the current year's dividend, the next five annual dividends and a fine of up to $3,000.

Submitting the application is also a consent to register with the U.S. Selective Service System, if required by law, according to the Alaska Department of Revenue. The authorized release of information includes confidential records from financial, private and educational institutions as well as state and public agencies.

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