Request Form For Letter Ruling - New York Department Of Finance Page 2

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List of documents submitted with this request: (2)
Attach additional pages, if necessary, and any documents to be considered.
The final letter ruling will be mailed to you. Do you also wish to receive a copy of the final letter
ruling by FAX? / / yes / / no
Please provide FAX number (_____)_________________
The taxpayer hereby represents that this request does not cover an issue or set of facts regarding
which a Notice of Determination or a Notice of Disallowance of a claim for refund or credit has been
issued to the taxpayer (or, in the case of a request submitted on hypothetical facts, to any taxpayer to
the best of the requestor's knowledge and belief.) If this requests covers an issue or set of facts
regarding which a Notice of Determination or a Notice of Disallowance of a claim for refund or
credit has been issued, no ruling can be issued. See 19 Rules of the City of New York Section 16-
01(c)(1).
Signature (3) (4)
Date
Type or print name of individual signing request. Title or relationship to taxpayer.

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