Alaska Form 812 PDF Details

If you're a resident of the state of Alaska, you may be interested in filing Form 812 with your annual tax return. This form is used to calculate your Adjusted Gross Income, and can help you determine whether you're eligible for certain deductions and credits. Understanding how to complete this form correctly can help ensure that you receive the correct amount of tax relief. If you have any questions about filling out Form 812, be sure to consult with a qualified accountant or tax specialist.

QuestionAnswer
Form NameAlaska Form 812
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesalaska dmv forms, ak title, ak dmv form 812, alaska form 812

Form Preview Example

812

STATE OF ALASKA

 

 

DIVISION OF MOTOR VEHICLES

 

VEHICLE TRANSACTION APPLICATION

APPLICATION

TYPE

 

 

 

 

VEHICLE

INFORMATION

 

 

 

 

OWNER

INFORMATION

 

 

 

 

TITLE

 

 

 

 

 

 

 

REGISTRATION

 

 

 

 

 

 

CHANGE OF OWNERSHIP

 

REGISTRATION LOST TAB

LOST PLATE

OTHER _______________

 

REPLACEMENT TITLE

 

I AM ALSO APPLYING FOR AN EXEMPTION:

 

 

 

 

 

 

CORRECTION / ADD OR REMOVE LIENHOLDER

 

SENIOR (65+)

MILITARY GUARD

DISABILITY

CHARITABLE/GOVERNMENT

 

 

 

 

 

 

 

 

 

PERMANENT REGISTRATION (I LIVE IN AN ELIGIBLE AREA) OTHER ________________

 

SERIAL NUMBER (VIN)

 

 

 

 

 

SECONDARY SERIAL NUMBER (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YEAR

 

MAKE

 

MODEL

 

 

 

 

BODY STYLE

 

 

 

COLOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ODOMETER (MILES)

 

 

 

WEIGHT

ACTUAL

 

IS VEHICLE USED

YES

 

 

AK LICENSE PLATE #

 

NEW PLATES

 

 

 

 

 

 

 

 

ESTIMATED

 

COMMERCIALLY

NO

 

 

 

 

 

 

 

REQUESTED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FULL FIRST NAME

 

 

 

FULL MIDDLE NAME

 

FULL LAST NAME

 

 

 

 

 

 

 

 

SUFFIX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER LICENSE #

 

 

 

 

STATE

 

 

DATE OF BIRTH

 

 

 

ORGAN DONOR

 

SOCIAL SECURITY NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

฀YES

 

COMPANY OR TRUST NAME (If applicable)

 

 

 

 

 

 

TAXPAYER ID NO.

 

 

 

Are you an Alaska

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Resident?

฀NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONJUNCTION TYPE

“AND”

requires the signatures of ALL owners to sell / transfer

“OR”

requires the signature of a single owner to sell / transfer

CO-OWNER INFORMATION

FULL FIRST NAME

FULL MIDDLE NAME

 

FULL LAST NAME

 

SUFFIX

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER LICENSE #

 

STATE

 

DATE OF BIRTH

 

ORGAN DONOR

SOCIAL SECURITY NO.

 

 

 

 

 

 

 

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

LEASING COMPANY, COMPANY, OR TRUST (If applicable)

 

 

TAXPAYER ID NUMBER

Are you an Alaska

฀YES

 

 

 

 

 

 

 

 

Resident?

฀NO

 

 

 

 

 

 

 

 

 

 

 

CONTACT

INFORMATION

OWNER MAILING ADDRESS

CITY

STATE

ZIP

 

 

 

 

OWNER RESIDENCE ADDRESS

CITY

STATE

ZIP

 

 

 

 

EMAIL ADDRESS

PHONE #

I WANT TO RECEIVE NOTIFICATIONS BY:

 

 

฀ REGULAR MAIL ฀ E-MAIL

 

 

 

 

LEASING COMPANY MAILING ADDRESS

CITY

STATE

ZIP

 

 

 

 

COMMERCIAL VEHICLES, LEASED VEHICLES, VEHICLES OWNED BY A COMPANY, OR VEHICLES WEIGHING MORE THAN 10,000 POUNDS

 

DURATION OF REGISTRATION

 

Heavy Vehicle Use Tax Declaration

DOT NO.

 

NO. OF AXLES

COMMERCIAL

ANNUAL BIENNIAL

 

IRS 2290 ATTACHED EXEMPT

 

 

 

 

 

 

 

 

 

 

IS THE CARRIER RESPONSIBLE FOR SAFE OPERATION

YES

TAX ID ASSOC. WITH DOT NO.

DUAL REGIST. REQUESTED

 

 

 

 

EXPECTED TO CHANGE DURING THE REGISTRATION PERIOD?

NO

 

CURR REG. IN ______________

 

PRISM SUBJECT TO

EXEMPT Must Certify below*

 

 

 

 

 

* I certify under penalty of perjury that I am the owner of the vehicle listed above; AND the vehicle does not require a USDOT number.

 

 

 

 

 

 

 

 

 

 

Owner’s/Agent’s Printed Name

 

 

Owner’s/Agent’s Signature

 

Date

 

 

 

 

 

 

 

 

OTHER INFORMATION

LIENHOLDER NAME (If vehicle is paid in full – write “NONE”)

LIENHOLDER ADDRESS: (PO Box or Street Address)

 

 

 

 

 

 

 

 

CITY / STATE / ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO YOU WISH TO DONATE $1 OR MORE TO SUPPORT THE

YES NO

Personalized Plate Transfer

I would like to transfer my personalized plate to this vehicle

ORGAN AND TISSUE DONATION PROGRAM?

 

 

 

Plate #:

 

 

 

 

 

 

 

 

 

 

 

 

 

AMOUNT $ ____________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AFFIDAVIT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify under penalty of law there is a liability insurance policy for this vehicle if required by AS 28.22.011 and this policy will be

DMV USE ONLY

 

DOCUMENTS ACCEPTED

 

maintained during the entire registration period. The address shown is my true legal address and the vehicle will be operated on

 

Alaska roadways. If this is a commercial vehicle, I am familiar with and have knowledge of the Federal Motor Carrier Safety

 

 

Regulations 49 CFR, Hazardous Materials Regulations and applicable Federal/state CMV safety laws and regulations. I certify

CLASS CODE: _________________

 

under penalty of perjury that all information is true and correct. False statements are punishable under AS 11.56.210.

 

 

X

 

/

/

 

BATCH NO: ___________________

 

 

 

 

SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)

DATE

 

 

DATE: _______________________

 

 

 

 

 

 

 

X

/

/

 

LOGIN ID: _______________________

 

SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)

 

DATE

 

 

 

 

 

 

 

FORM 812 (REV. 01/2018)

www.alaska.gov/dmv

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