Mass. Form Ca-6 - Application For Abatement/amended Return

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PRINT IN BLACK INK.
Ovals must be filled in completely. Example:
Mass. Form CA-6
Application for Abatement/Amended Return
SOCIAL SECURITY OR FEDERAL IDENTIFICATION NUMBER
TAXPAYER NAME (IF INDIVIDUAL, ENTER LAST NAME FOLLOWED BY FIRST; IF BUSINESS, ENTER FULL LEGAL NAME)
SPOUSE’S SOCIAL SECURITY NUMBER
SPOUSE’S NAME (if applicable)
ADDRESS
CITY/TOWN/POST OFFICE
STATE
ZIP + 4
If address has changed since you last filed a return, fill in oval:
For Privacy Act Notice, see the instructions for the form you file.
Prerequisites for Filing an Application for Abatement
Two requirements must be met for an application for abatement to be valid. First, the required return must have been filed for the period stated on the
application. Second, the application must be submitted to DOR within one of the following time limits, whichever is latest:
a. Within three years from the due date for filing the return (regardless of any extension of time to file);
b. Within two years from the date the tax was assessed or deemed to be assessed;
c. Within one year from the date the tax was paid;
d. Within 60 days of DOR’s determination of a responsible person’s liability, if applicable;
e. Within any agreed-upon extension of time for assessment of taxes under MGL, Ch. 62C, sec. 27; or
f. Within one year (three months for corporations) from the date of the final federal determination, including acceptance of an amended federal return
by the Internal Revenue Service under MGL, Ch. 62C, sec. 30. If, as a result of a change in federal taxable income, a taxpayer believes that a lesser
tax was due the Commonwealth than was previously assessed, the taxpayer may file an abatement claim. If applicable, please submit documentation
to substantiate this claim.
1. Please state the issues involved (attach additional statement if necessary), including all facts and relevant statutory references (MGL, Ch. 62–65C, 121A
and 138), and enclose any exhibits that substantiate this change in tax or request for penalty waiver.
2. Are you filing to
increase your tax?
decrease your tax?
dispute penalties?
dispute an audit?
other:
3. Tax type originally filed (select one):
resident personal income
nonresident/part-year resident personal income
sales/use
withholding
sales tax on meals
domestic corporate excise
foreign corporate excise
other:
4. Are you amending your return as a result of a federal change?
Yes
No. If “yes,” enclose copy of federal results, if available.
5. Fill in oval if you are filing for a reduction in sales, meals, room occupancy or withholding tax(es) and have not withheld or collected the tax:
6. Fill in appropriate oval(s) if you would like to request a:
statutory hearing, and/or
settlement consideration at the Office of Appeals.
If you fail to provide the requested documentation, no hearing will be granted.
Line Item Information.
If disputing penalties, complete tax period end and filing frequency items only.
For the period in which a change to tax is being made, enter below: the line item number being changed in Column A; the original amount reported in
Column B; and enter the corrected amount in Column C. If more than one period is being adjusted, consolidate this information on a spreadsheet, or use
Form CA-6A which is available at Form CA-6A provides space for additional line item information. If you have completed and enclosed
a revised tax return, omit items A, B and C and enter the net change below.
Tax period
Tax period end: Month
Year
Filing frequency:
Annual
Monthly
Quarterly
B. Original amount
C. Corrected amount
A.
M
M
If showing a loss, mark an X in box at left
If showing a loss, mark an X in box at left
,
,
,
,
Line item no.
,
,
,
,
Line item no.
,
,
,
,
Line item no.
Note. You do not have to compute the change to your tax. DOR will notify you of any additional taxes or refund due. However, if you do wish to compute
the change, complete and enclose a revised copy of your return with this form. If you owe additional tax, please enclose a check or money order payable
to the Commonwealth of Massachusetts and write your identification number on the front of your check or money order in the lower left corner.
,
,
Net change. If you have completed and enclosed a revised tax return, enter the net change to tax here.
BE SURE TO COMPLETE PAGE 2 (REVERSE).

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