Form Rev-260ba - Board Of Finance And Revenue Petition Form Page 2

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A. RELIEF REQUESTED:
B. ARGUMENT(S):
Explain in detail why the relief requested above should be granted. Attach copy of notice being appealed (BOA Decision or
Revenue Resettlement). Enclose copies of any documents you believe supports your arguments. Petitions for Refund must be
accompanied by proof of payment of the tax to the Commonwealth and any copies of invoices, credit memoranda, exemption
certificates, etc. where relevant. When appealing a Sales and Use Tax, if possible include a copy of the audit assessment, and
REV-39, APPEAL SCHEDULE. When appealing personal income tax, include a copy of your PA-40 and schedules for the
year(s) in question.
MAIL COMPLETED FORM TO:
COMMONWEALTH OF PENNSYLVANIA
BOARD OF FINANCE AND REVENUE
1101 South Front Street, Suite 400
HARRISBURG, PA 17104-2539
(IF ADDITIONAL SPACE IS REQUIRED, ATTACH ADDITIONAL SHEETS.)

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