Form Dr-342000 - Request To Participate In The Certified Audit Program Page 2
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2DR-342000
R. 10/11
22. Attach a copy of your firm’s most recent System Review (On-Site Peer Review). Rule 12-25.033(f) states in part…
“the qualified audit firm must have received a timely on-site peer (system) review dated prior to the date of the
Request to Participate and must have received an “Unqualified (Unmodified) Opinion” on such on-site peer (system)
Review.”
23. Provide the following information for each tax listed.
Florida Tax
Business Name
Business Partner Number
Dates Returns Filed
Corporate Income
Motor Fuel
Communication Services
Documentary Stamp
Insurance Premium
Unemployment
Gross Receipts
A separate questionnaire must be completed for any tax or taxes where the taxpayer has not filed the required tax returns.
24. Attach a list of any outstanding liens, warrants, or Notices of Tax Action filed against the taxpayer for any tax type by
the Florida Department of Revenue.
25. Attach a completed Power of Attorney (Form DR-835) for the qualified practitioner.
26. Attach the statement, signed by the taxpayer, declaring the taxpayer’s intent to pay any audit assessment within 60
days of the date the audit has been agreed to or the protest opportunities have expired.
Applicant Signature: The application cannot be processed unless signed by the taxpayer and the qualified practitioner.
I declare that I have read the foregoing application and that the responses provided are true.
Signature of taxpayer
Type taxpayer name and title
Date
Signature of qualified practitioner
Type qualified practitioner name & title
Date
Mail this completed application to the following address:
If the request is approved, DOR will provide the following:
1.
A letter of confirmation to the CPA firm.
Certified Audit Process
2.
A DR-15 download (SUT filing history) for use in
planning work.
Florida Department of Revenue
3.
A 30-day window to submit Proposed Agreed Upon
P.O. Box 5139
Procedures tailored to the client.
Tallahassee, FL 32314-5139
4.
An electronic copy of the Standard Audit Program;
5.
An electronic copy of the shell Proposed Agreed
Upon Procedures.
If you have any questions or need assistance in completing your application, please call the Certified Audit Program Office
at (850) 617-8565
Applications Will Not Be Processed Unless They Are Proper and Complete.
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