Form Tsd-2 - Request For Administrative Appeal - Georgia Department Of Revenue
Download a blank fillable Form Tsd-2 - Request For Administrative Appeal - Georgia Department Of Revenue in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Tsd-2 - Request For Administrative Appeal - Georgia Department Of Revenue with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Print
Clear
Page 1
TSD-2
Form
(Rev. 12/11)
Georgia Department of Revenue
Request for Administrative Appeal
SECTION 1
Assessment Information
L
Enter Letter ID number listed on the Notice of Official Assessment (if available):
Check tax type and enter the related tax identification number and tax periods at issue:
FEIN:
SSN:
Individual Income Tax
-
Corporate Income Tax
-
-
STN:
IFTA: GA
Sales and Use Tax
IFTA Fuel Tax
WTN:
TAX ID:
-
Other
Withholding Tax
Check if you are are being assessed as a
responsible person for sales or withholding taxes or as a
successor to a business.
Enter tax periods listed on Notice of Official Assessment:
SECTION 2
Taxpayer Contact Information
Taxpayer’s First Name
Middle Initial
Last Name
Social Security Number
Spouse’s First Name (if a joint liability)
Middle Initial
Last Name
Social Security Number
Business Name
(use if business is being assessed)
Employer Identification Number
Taxpayer’s Address
Daytime Telephone Number
City
State
ZIP
Mailing Address
City
State
ZIP
SECTION 3
Representative Information
Complete this section only if you are being represented by an attorney. A Power of Attorney (Form RD-1061) authorizing the representa-
tive to act for the taxpayer must be included with this form.
Attorney’s Name
Telephone Number
Fax Number
Mailing Address
City
State
ZIP
ssment
SECTION 4
Reason for Appealing Official Assessment
Please provide a summary statement of the legal issues and factual matters to be resolved at the hearing. Attach additional pages, if
needed, and enclose copies of any supporting documents.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial