Form Rev 50 0001 - Appeal Petition - Washington Department Of Revenue

Download a blank fillable Form Rev 50 0001 - Appeal Petition - Washington 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 Rev 50 0001 - Appeal Petition - Washington 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

WARNING:
To protect against the possibility of others accessing your confidential
State of Washington
information, do not complete these forms on a public workstation.
Department of Revenue
Appeals Division
A
P
PO Box 47460
PPEAL
ETITION
Reset This Form
Olympia WA 98504-7460
(360) 570-6140 FAX (360) 664-2729
Please type or print in ink. Attach a copy of the notice/item being appealed. Mail this petition to the above address. Petitions sent by US
Postal Service are considered filed as of the postmark date. Petitions filed by other methods are considered filed on the date received.
Taxpayer
1
Name/Business Name
Registration/UBI Number
Street Address
(include city, state, zip)
Telephone Number
Fax Number
Web Site Address
Contact Person
Telephone Number
Email Address
Representative
2
Last Name
First
M.I.
Business Name
Street Address
(include city, state, zip)
Telephone Number
Fax Number
Email Address
Notice/Item at Issue
3
Assessment/balance due notice
Taxpayer Information & Education Ruling
Refund
Internal Use Only
Successorship/Trust Fund Liability
Other
Docket No.
Timely
Tax Period
Audit No.
ARTS
AB2
From
To
C. Scan
OD Copy
Scan Idocs
Ack Ltr
Amount at Issue $
Document No.
File
Small Claims
4
Check if you do not want your case considered a small claim. If you do not check this box, the Appeals Division may
designate the appeal as a small claim if the dispute involves taxes of $25,000 or less and the total amount of taxes plus
penalties and interest is $50,000 or less. A small claim decision is the final action of the department – you cannot request
reconsideration.
Type of Appeal
5
(Complete only if you want your appeal heard other than as a small claim or as a regular, mainstream appeal)
Executive Level
A petition for executive level consideration may be granted if the issue is one of first impression or the issue has industry-
wide impact or significance. The reasons for an executive level appeal must be specified in the petition. An executive level
decision is the final decision of the department – you cannot request reconsideration of executive level decisions.
Reconsideration or
Executive Reconsideration of Mainstream Appeal decision
Petitions for reconsideration must specify the errors in fact or law on which you base your request. The reasons for
executive reconsideration must also be specified in the petition.
Expedited Review
On a very limited basis, the Department may consider a case for expedited review, such as when there is a particular and
extraordinary business necessity for such review. If your request for expedited review is granted, the decision is the final
action of the department—you cannot request reconsideration. Petitions for expedited review must specify the reasons for
requesting expedited review.
Hearings
6
In-Person Hearing Requested – Olympia
Seattle
Telephone Hearing Requested
No Hearing Requested. Please decide on basis of petition and record.
REV 50 0001 (6/15/06)
Next Page

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2