Petition For Redetermination Form printable pdf download

Permit/License No.:

STATE OF NEVADA

DEPARTMENT OF TAXATION

IN THE MATTER OF

Amount: $

Date of Deficiency

Determination:

IMPORTANT

If you disagree with all or any portion of the attached notice of deficiency or jeopardy determination, the law requires you to

file a timely petition for redetermination with the Department of Taxation. Failure to file a timely petition for redetermination will

result in the determination becoming final with no right of appeal or refund.

In filling out this petition you must state specifically each and every ground upon which you are contesting the deficiency or

jeopardy determination. The deadline for filing this petition is set forth on the attached notice of deficiency or jeopardy

determination. If you have questions concerning the date this petition is due, please contact the Department. Failure to

specify the grounds for your petition will result in the petition being summarily denied. The Department will review your

petition and any information provided to substantiate the grounds listed in contesting the deficiency or jeopardy

determination, and make any adjustments to the determination that the Department deems justified. If there is still a

disagreement, and you have requested an evidentiary hearing before an administrative hearing officer, then you will be

notified of the date and time of the hearing. If you have not requested a hearing, then the Department will make its ruling on

the evidence presented and notify you thereafter.

Any adverse decision from the administrative hearing officer may be appealed to the Nevada Tax Commission. An adverse

decision from the Tax Commission may be appealed to the district court.

PETITION FOR REDETERMINATION

The undersigned petitions for redetermination of all or part of the Department’s deficiency or jeopardy determination and

understands, that in the absence of specific information, his petition will be denied. The petitioner alleges that the

determination is erroneous for the following reasons (continue on the reverse side if necessary).

Check one:

An oral hearing is not requested.

Amount petitioned: $

An oral hearing before the hearing authority is requested.

Dated:

Petitioner:

By:

PETITION FOR REDETERMINATION

DET-01.03

Revised 12-30-96

Petition For Redetermination Form