Managed Audit Application
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State of Washington
Department of Revenue
Managed Audit Application
Business Name: ____________________________________________________________________________________
DBA: ____________________________________________________________________________________________
UBI/Tax Registration Number: _______________________ Telephone Number: ______________________________
Business Address: __________________________________________________________________________________
Contact Person: ________________________________
Title: __________________________________________
Please describe your business activities in Washington:
Please answer the following questions:
1.
Is
complete source documentation such as chart of accounts, federal and state returns, depreciation schedules,
reseller permits/exemption certificates, sales and purchase journals with invoices, and other pertinent documentation
readily available and accessible for all periods of the audit?
Yes
No
1
1
2.
Are you able to provide these records electronically?
Type of accounting software: ______________________________________________________________
1
Yes
1
No
3.
Have you ever requested a written opinion or ruling from the Department? (Please attach copy)
Yes
No
1
1
4.
Do you file timely excise tax returns?
1
Yes
1
No
5.
Have you conducted business in Washington under any other UBI numbers within the last ten years?
If yes, please provide previous UBI numbers: _________________________________________________
Yes
No
1
1
6.
Have there been changes to your accounting software and/or accounting personnel in the past four years?
1
Yes
1
No
7.
Do you have the time, personnel and resources to complete your portion of a managed audit within 60 days?
Yes
No
1
1
8.
Does your accounting system have the capability to isolate sales and purchases by state?
1
Yes
1
No
9.
Are you currently working with another Division within the Department?
If so, which Division: ____________________________________________________________________
Yes
No
1
1
Generally, a business qualifies for the Managed Audit Program if the tax issues are straightforward and without multiple
deductions, exemptions, or credits. Qualification for participation in this program is also based on a taxpayer’s compliance
history, internal controls, and the anticipated time savings. The Department has sole discretion to grant participation in the
Managed Audit Program.
Declaration: As an authorized representative of the business identified above, I certify that the above declarations are true and
complete.
Signature of Authorized Representative:
Print Name:
Title:
Date:
If your business has been notified of a pending audit, please forward this application to the assigned Revenue Auditor. All other
applications should be completed, signed, scanned, and returned by email to dormanagedauditappli@dor.wa.gov,
or mailed to:
Washington State Department of Revenue
Attn: Audit Standards & Procedures Manager
Print This Form
PO Box 47474
Olympia, WA 98504-7474
For tax assistance, visit dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an
alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.
REV 31 1488e (6/8/10)
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