Form Rev 50 0001 - Appeal Petition - Washington Department Of Revenue Page 2
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2Issues and Arguments
7
Issues
a.
– Briefly describe each issue or area of dispute that you wish us to consider. Attach additional pages if necessary.
b. Arguments
– Explain in detail why each issue or area of dispute listed above should be decided in your favor. Attach additional
pages if necessary. To the extent known, cite applicable rules, statutes, or cases in support of your arguments. Enclose copies of
documents you feel support your arguments.
Email Authorization
8
Check if the Appeals Division can send correspondence by email. Email communications are not secure and confidential tax
information sent via email may be intercepted and used by unauthorized persons. Taxpayer accepts these conditions,
authorizes the Department of Revenue to communicate via email, and waives any violation of the Secrecy Clause that might
arise from an unauthorized interception and/or use of email.
Signature and Confidential Tax Information Authorization
9
Either the Taxpayer or the Representative can sign the petition. But the Department must have on file a Confidential Tax
Information Authorization to be able to disclose tax information to the Representative. The Taxpayer can elect to sign the
authorization below or submit a separate form located at ,
unless one is already on file. The Taxpayer must also sign the petition if authorizing use of e-mail.
Taxpayer: I hereby certify that I am the owner, corporate officer, registered agent, or partner of the above named Taxpayer, I
am authorized to execute this form on behalf of Taxpayer, and the Representative named above is authorized to receive
confidential tax information from the Department on all matters raised on appeal.
Signature
Date
Name (please print or type)
Title
Representative:
Signature
Date
Name (please print or type)
Title
For tax assistance visit 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.
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REV 50 0001 (6/15/06)
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