Form Tc-98 - Application To Extend Time To File A Claim For Refund
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1
2Utah State Tax Commission
Application to Extend Time to File a Claim For Refund
TC-98 Rev. 6/98
This application allows the Tax Commission and taxpayer to agree to extend the time to file a claim for refund beyond the current statute of
limitations. Approval of this application shall also extend the statute of limitations for audits, adjustments, assessments, and collection of taxes.
The Tax Commission and taxpayer may agree to extend the time to file a claim for refund beyond the statute of limitations. The Tax Commission
will determine the length of the extension based on the reason and explanation provided in “ Section 3 - Reason for Extension.”
Submit this application at least
30 days
prior to the expiration of the statute of limitations to allow time for processing.
If your extension is granted, a copy of this application will be returned, showing the length of the extension and signed by a
representative of the Tax Commission.
SECTION 1 - General Information
Telephone no.
Telephone no.
Taxpayer’ s name
Contact person/representative’ s name (if applicable)
Taxpayer’ s address
Contact person or representative address
City
State
Zip code
City
State
Zip code
Business name (if applicable)
Business location (address)
SECTION 2 - Refund Information
Tax type
Account number
Tax period
Date statute of limitations expires
Estimated amount of refund
SECTION 3 - Reason for Extension
Presiding court: ____________________________
Case number: _________________________
Judiciary proceeding pending
State or jurisdiction: ____________________________
Audit in process
Agency conducting audit: _________________________
Unattainable records
Additional time to review records
Unavoidable absence
Other
Explanation: Provide information in the space below (or attach other documentation) that explains the problem or issues related to those items
checked above. Also, explain how this extension would result in a refund.
SECTION 4 - Authorized Signatures (Both parties must sign before the statute of limitations expires)
This application must be signed by the taxpayer or the principal officer, agent, or attorney-in-fact, authorized to complete this form for the
taxpayer. The agent or attorney-in-fact must attach a copy of the power of attorney, authorizing such signature. Any signature will be “ prima-facie
evidence”that the individual is authorized to sign and acknowledges that the extension also extends the statute of limitations for audits,
adjustments, assessments, and collection of taxes.
PRINT name of taxpayer or authorized representative
Signature of taxpayer or representative
Date signed
X
Print your title, if this is for a business
Daytime telephone number
Review this application to make sure you complete all sections. Return or mail to the address below or send by fax to (801) 297-7697.
You may also obtain assistance by calling (801) 297-7790.
Utah State Tax Commission, Customer Service Division, Internal Customer Support, 2nd Floor, 210 North 1950 West, Salt Lake City, Utah 84134.
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