Form AH-4 "Protest and Request for Administrative Hearing (For All Sales, Use, and Excise Taxes)" - Illinois

What Is Form AH-4?

This is a legal form that was released by the Illinois Department of Revenue - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the Illinois Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AH-4 by clicking the link below or browse more documents and templates provided by the Illinois Department of Revenue.

ADVERTISEMENT
ADVERTISEMENT

Download Form AH-4 "Protest and Request for Administrative Hearing (For All Sales, Use, and Excise Taxes)" - Illinois

Download PDF

Fill PDF online

Rate (4.3 / 5) 56 votes
Illinois Department of Revenue
AH-4 Protest and Request for Administrative Hearing
(for all sales, use, and excise taxes)
Read this information first
Do not use this form for hearing requests if
the liability falls under the Independent Tax Tribunal jurisdiction;
Use this form to file an official protest and request an administrative
the notice does not provide you with the right to an
hearing in response to any of the following notices that offer protest
administrative hearing;
rights:
the liability or claim denial is for personal or business income
Notice of Tax Liability (NTL)
taxes. For income taxes, use Form EAR-14, Format for Filing a
Notice of Personal Liability (NPL)
Protest for Income Tax.
Claim Denial
Note: An administrative hearing is a formal proceeding presided over by an administrative law judge, and conducted in a manner defined by
the rules adopted by the Illinois Department of Revenue (IDOR). An attorney representing IDOR will be present. You may represent yourself
or have your own attorney there to represent you.
Step 1 – Provide the following information
1 _______________________________________
7 _______________________________________
Taxpayer(s) name(s)
Account ID or Taxpayer ID
2 _______________________________________
8 _______________________________________
Mailing address
Letter ID
3 _______________________________________
9 _______________________________________
PO Box, if applicable
Date issued
4 _______________________________________
10 _______________________________________
City
State
ZIP
Liability period
5 _______________________________________
11 $______________________________________
Email address (if any)
Amount shown due on notice, if applicable
6 ( _____ ) _________________________________
Phone #
12
If you are protesting the denial of a claim for credit, provide the following information:
Date claim was filed
Liability period
Date claim was denied
Amount of claim denied
____/____/________
________________
____/____/________
$________________
____/____/________
________________
____/____/________
$________________
Step 2 – Signature verification
(required)
I (we) hereby protest the notice(s) as indicated above and specifically request an administrative hearing to show the claim denial or liability
indicated by IDOR is wrong. I (we) fully understand the nature of this proceeding and the legal responsibilities required.
________________________________________________________________________________________________________
Taxpayer(s) signature
Date
__________________________________________________________________________________________________________________________________
Signature of taxpayer’s representative(s)
Date
Note: If a taxpayer representative signs this form, a Form IL-2848, Power of Attorney, must accompany the filing of this protest. Form IL-2848 is
available on IDOR’s website at tax.illinois.gov.
Step 3 – File your protest
Review the notice you are protesting. If the notice you are protesting directs you to mail your protest to the address on the notice, return
Form AH-4 to that address. Otherwise, mail or deliver completed Form AH-4 to the address below.
Note: Form AH-4 must be filed on or before the date specified on the notice you are protesting. If you do not file a protest within the time
allowed, you will waive your right to a hearing, and IDOR’s determination will be final.
Include copies of all notices you are
To:
ILLINOIS DEPARTMENT OF REVENUE
OFFICE OF ADMINISTRATIVE HEARINGS MC 5-550
protesting. You cannot protest a notice
101 W. JEFFERSON STREET
that does not provide you with the
PO BOX 19014
right to an administrative hearing.
SPRINGFIELD IL 62794-9014
This form is authorized as outlined by the Retailers’ Occupation Tax Act and related occupation tax and fee Acts, and the Excise Tax Acts. Disclosure of this
information is REQUIRED. Failure to provide information could result in a penalty. Printed by the authority of the state of Illinois. Web only — one copy.
AH-4 (R-03/20)
Print
Reset
Illinois Department of Revenue
AH-4 Protest and Request for Administrative Hearing
(for all sales, use, and excise taxes)
Read this information first
Do not use this form for hearing requests if
the liability falls under the Independent Tax Tribunal jurisdiction;
Use this form to file an official protest and request an administrative
the notice does not provide you with the right to an
hearing in response to any of the following notices that offer protest
administrative hearing;
rights:
the liability or claim denial is for personal or business income
Notice of Tax Liability (NTL)
taxes. For income taxes, use Form EAR-14, Format for Filing a
Notice of Personal Liability (NPL)
Protest for Income Tax.
Claim Denial
Note: An administrative hearing is a formal proceeding presided over by an administrative law judge, and conducted in a manner defined by
the rules adopted by the Illinois Department of Revenue (IDOR). An attorney representing IDOR will be present. You may represent yourself
or have your own attorney there to represent you.
Step 1 – Provide the following information
1 _______________________________________
7 _______________________________________
Taxpayer(s) name(s)
Account ID or Taxpayer ID
2 _______________________________________
8 _______________________________________
Mailing address
Letter ID
3 _______________________________________
9 _______________________________________
PO Box, if applicable
Date issued
4 _______________________________________
10 _______________________________________
City
State
ZIP
Liability period
5 _______________________________________
11 $______________________________________
Email address (if any)
Amount shown due on notice, if applicable
6 ( _____ ) _________________________________
Phone #
12
If you are protesting the denial of a claim for credit, provide the following information:
Date claim was filed
Liability period
Date claim was denied
Amount of claim denied
____/____/________
________________
____/____/________
$________________
____/____/________
________________
____/____/________
$________________
Step 2 – Signature verification
(required)
I (we) hereby protest the notice(s) as indicated above and specifically request an administrative hearing to show the claim denial or liability
indicated by IDOR is wrong. I (we) fully understand the nature of this proceeding and the legal responsibilities required.
________________________________________________________________________________________________________
Taxpayer(s) signature
Date
__________________________________________________________________________________________________________________________________
Signature of taxpayer’s representative(s)
Date
Note: If a taxpayer representative signs this form, a Form IL-2848, Power of Attorney, must accompany the filing of this protest. Form IL-2848 is
available on IDOR’s website at tax.illinois.gov.
Step 3 – File your protest
Review the notice you are protesting. If the notice you are protesting directs you to mail your protest to the address on the notice, return
Form AH-4 to that address. Otherwise, mail or deliver completed Form AH-4 to the address below.
Note: Form AH-4 must be filed on or before the date specified on the notice you are protesting. If you do not file a protest within the time
allowed, you will waive your right to a hearing, and IDOR’s determination will be final.
Include copies of all notices you are
To:
ILLINOIS DEPARTMENT OF REVENUE
OFFICE OF ADMINISTRATIVE HEARINGS MC 5-550
protesting. You cannot protest a notice
101 W. JEFFERSON STREET
that does not provide you with the
PO BOX 19014
right to an administrative hearing.
SPRINGFIELD IL 62794-9014
This form is authorized as outlined by the Retailers’ Occupation Tax Act and related occupation tax and fee Acts, and the Excise Tax Acts. Disclosure of this
information is REQUIRED. Failure to provide information could result in a penalty. Printed by the authority of the state of Illinois. Web only — one copy.
AH-4 (R-03/20)
Print
Reset