ALASKA PERMANENT FUND DIVIDEND DIVISION 10201

2019 Dividend Payment Advice

PAYER'S name 20190169938

State of Alaska
PAYER'S federal RECIPIENT'S identification number
2019
identification number
Form 1099-MISC
92-6001185 ***-**-4620
RECIPIENT'S name Dividend Amount / Other Income
TATIANA PALADI (1099-MISC Box 3) $1,606.00
Federal income tax withheld
(1099-MISC Box 4) $0.00

ALN: 2019-016-9938 Assigned or Attached $0.00

Payment Method: Direct Deposit Charitable Contributions*** $0.00
Bank Name: Alaska USA FCU UA College Savings Plan $0.00
Account: Savings Education Raffle $0.00
Payment Date: 10/3/2019 Total Direct Deposit $1,606.00

***No goods or services were provided by the organizations in return for the contributions associated with the
Pick.Click.Give program.

Funding for PFD dividends comes from: The Total Gross Dividend has been reduced for:
* Permanent Fund earnings: * Medical and Public Assistance hold
Constitutional dedication of funds harmless provisions of AS 43.23.075
$706.59 -$28.43
Legislative action: * Legislative appropriation of convicted and
Statutory inflation proofing incarcerated felon and misdemeanant
672.94 -33.16
dividends
Special Legislative Appropriations 302.82
* Dividend program administrative costs -13.20
* Unexpended prior year Dividend Funds -0.40 * Prior year dividend obligations -1.16

Gross Dividend Before Appropriation $1,681.95 Net Dividend $1,606.00

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TATIANA PALADI
170 7TH AVE APT 2
FAIRBANKS, AK 99701-5053

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 Visit us at pfd.alaska.gov and click
l Check the status of your current PFD application
l Access your payment history
l Review deductions and voluntary contributions

Form 1099-MISC for the 2019 Dividend

Permanent Fund Dividends are Taxable!
Important Federal Tax Information
Keep this letter for your tax records. This is important tax information and is being furnished to the Internal Revenue Service. If you
fail to report the PFD on your Federal income tax return, a negligence penalty or other sanction may be imposed . Report the entire
amount of the PFD on IRS form 1040 on the line for “OTHER INCOME” even if a creditor claimed some or all of your
dividend. If you are otherwise eligible to file the forms 1040A or 1040EZ, you may report this amount on the line for “Unemployment
compensation and Alaska Permanent Fund Dividends” (see instructions for those forms at www.irs.gov). Income is reportable in the
tax year it was issued. If you have received a 2019 Dividend after 12/31/2019, it is no longer a 2019 tax liability and is reportable on
your 2020 taxes.

Federal Backup Withholding

Federal law requires the Department of Revenue to withhold 24% of your PFD if you did not give us a valid Social Security Number,
and if the amount of the PFD is $600 or more. This rate is subject to change effective 1/1/2020. If taxes were withheld from your
PFD, you must report the withheld amount on IRS form 1040 on the line for “FEDERAL TAX WITHHELD”.

Tax Questions? Contact the IRS @ 1-800-829-1040

Didn’t receive your entire PFD? Find deduction info on our website above and click on the myPFD button
Other Questions? Anchorage (907) 269-0370 Fairbanks (907) 451-2820 Juneau (907) 465-2326

An individual is not eligible for a dividend when, during all or part of the calendar year immediately preceding that dividend
year, the individual was:
l sentenced as a result of a felony conviction; or
l incarcerated as a result of a felony conviction; or
l incarcerated as a result of a misdemeanor if the individual was convicted of a prior felony, or two or more prior
misdemeanors.

Total funds that would have been paid as 2019 dividends to individuals not eligible under this provision were
$20,922,600.00

The legislative purpose for making these individuals not eligible to receive a dividend is to:
l obtain reimbursement for some of the costs imposed on the state criminal system relating to incarceration or probation;
and
l provide funds for services for and payments to crime victims, and for grants for the operation of domestic violence and
sexual assault programs.

Total funds appropriated for FY 2020 under this purpose are:

l Restorative Justice Account $ 18,807,600
l Capitalization of Crime Victims Compensation Fund 2,115,000
Total appropriations $ 20,922,600

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