Pass-Through Entity Tax Electronic Filing Waiver Request Form

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Pass-Through Entity Tax Electronic Filing Waiver Request
Complete this form to request a waiver if you are unable to file and/or pay your Pass-through Entity (PTE)
tax electronically, or need more time to do so.
Waivers may be granted for all returns and payments filed for a specific Tax Year. If you need additional
time once the waiver period ends, you must submit a new waiver request.
Pass-Through Entity Information
Tax Preparers submitting requests for multiple PTEs - Provide your contact information below. Attach
a list of all PTEs represented in this request and include the Name and Federal Employer Identification
Number (FEIN) of each. The Approval or Denial letter will be sent to the PTE.
All others provide the information requested below.
Pass-Through Entity Name: ___________________________________________________________________
FEIN: ____________________________________________________________________________________
Mailing Address: ____________________________________________________________________________
____________________________________________________________________________
Contact Name: ___________________________________ Phone Number: ____________________________
Waiver Requested for Tax Year: _________________
Reason for Waiver
Check the reason a waiver is being requested and provide all information requested.
No Computer
Software Doesn’t Support Electronic Filing – Provide the name of the software product being used.
____________________________________________________________________________________
Need More Time – Provide the specific reason and the date you expect to be ready.
_______________
____________________________________________________________________________________
No Internet Access Available in Area
Business Closed / Closing – Provide the date the business closed or is closing. ____________________
Other – State the specific reason. ________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Fax to: (804) 367-3015
OR
Mail to: Virginia Department of Taxation
Waiver Requests
P.O. Box 27423
Richmond, VA 23261
Pass-Through Entity Tax Electronic Filing Waiver Request
Rev 11/15

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