Form Ftb 3701 - Request For Abatement Of Interest printable pdf download

Form Ftb 3701 - Request For Abatement Of Interest

Request for Abatement of Interest

Read the instructions on SIDE 2 before you complete this form.

Use FTB 3701 only to request abatement of interest. Do not use FTB 3701 if you are claiming a refund for an

overpayment of income taxes. For privacy information, see the enclosed FTB 1131, Franchise Tax Board Privacy Notice.

Name:

Your Social Security Number:

Address (number, street, and room, or suite number):

Spouse’s/RDP’s Social Security Number:

City or town, State, and ZIP Code:

Entity Identification Number:

Name and Address Shown on Tax Return (if different from above):

Daytime Telephone Number:

(

)

1. Period of time interest should be abated – From: _________________ To: ________________

2. Tax Year(s): ____________________________

3. Explain why you believe interest should be abated due to any unreasonable error or delay made by an employee of the

Franchise Tax Board. If the Internal Revenue Service (IRS) abated interest based on its error or delay, provide proof of

the IRS’s determination to abate interest.

If you are filing a protest against a proposed assessment or an appeal, and also wish to request an abatement of interest,

you must include the request for abatement of interest with your protest or appeal.

Signature

Requests filed by business entities must be signed by an authorized individual, and the signature must be accompanied by the

individual’s title.

Under penalties of perjury, I declare that I have examined this claim, including any accompanying schedules and statements, and, to

the best of my knowledge and belief, it is true, correct, and complete.

_______________________________________________________________________

________________________________

Signature (and title, if applicable)

Date

_______________________________________________________________________

________________________________

Signature

Date

FTB 3701 C2 (REV 02-2013) SIDE 1

Form Ftb 3701 - Request For Abatement Of Interest