State Form 56462 Form Vda-1 - Voluntary Disclosure Request - Indiana

Form State56462 is a Indiana Department of Revenue form also known as the "Form Vda-1 - Voluntary Disclosure Request". The latest edition of the form was released in January 1, 2018 and is available for digital filing.

Download a PDF version of the Form State56462 down below or find it on Indiana Department of Revenue Forms website.

ADVERTISEMENT
Form
Indiana Department of Revenue
Voluntary Disclosure Office
Indiana Department of Revenue
VDA-1
Voluntary Disclosure Request
100 N. Senate Ave., IGCN Room N241
State Form 56462
Indianapolis, Indiana 46204
(1-18)
Phone: (317) 233-6036 | FAX: (317) 234-5531 |
Website:www.in.gov/dor
1.Customer Identification
Yes
No
Are you representating a taxpayer requesting Voluntary Disclosure?
Customer or Representative Name
Taxpayer FEIN or SSN
Contact Name
Contact Title
Mailing Address
Telephone
FAX
City
State
ZIP Code
Email Address
2. Type of Entity/Ownership
Sole Proprietor
Partnership
LLC-Taxed as a Partnership
LLC-Taxed as a Corporation
C-Corp
S-Corp
Other (describe):
3. Is customer reqistered with the Indiana Secretary of State?
Yes
No
If yes, year:
4. Has the customer been contacted by the Indiana Department of Revenue regarding this liability?
Yes
No
5. Does customer’s income tax end on December 31?
Yes
No
If no, enter the fiscal year end date:
6. Has customer filed any recent short period income tax returns?
Yes
No
If yes, specify period ends:
7. Voluntary Disclosure by Tax Type
Returns
Yes
No
If yes, please list below.
Sales and Use Tax
Yes
Date activity began in Indiana:
No, explain
Already filing
Exempt
Other, explain:
Franchise/Income Tax
Yes
Date activity began in Indiana:
No, explain
Already filing
Protected by PL86-272
Other, explain:
Withholding Tax
Yes
Date activity began in Indiana:
No, explain
Already filing
Exempt
Other, explain:
Form
Indiana Department of Revenue
Voluntary Disclosure Office
Indiana Department of Revenue
VDA-1
Voluntary Disclosure Request
100 N. Senate Ave., IGCN Room N241
State Form 56462
Indianapolis, Indiana 46204
(1-18)
Phone: (317) 233-6036 | FAX: (317) 234-5531 |
Website:www.in.gov/dor
1.Customer Identification
Yes
No
Are you representating a taxpayer requesting Voluntary Disclosure?
Customer or Representative Name
Taxpayer FEIN or SSN
Contact Name
Contact Title
Mailing Address
Telephone
FAX
City
State
ZIP Code
Email Address
2. Type of Entity/Ownership
Sole Proprietor
Partnership
LLC-Taxed as a Partnership
LLC-Taxed as a Corporation
C-Corp
S-Corp
Other (describe):
3. Is customer reqistered with the Indiana Secretary of State?
Yes
No
If yes, year:
4. Has the customer been contacted by the Indiana Department of Revenue regarding this liability?
Yes
No
5. Does customer’s income tax end on December 31?
Yes
No
If no, enter the fiscal year end date:
6. Has customer filed any recent short period income tax returns?
Yes
No
If yes, specify period ends:
7. Voluntary Disclosure by Tax Type
Returns
Yes
No
If yes, please list below.
Sales and Use Tax
Yes
Date activity began in Indiana:
No, explain
Already filing
Exempt
Other, explain:
Franchise/Income Tax
Yes
Date activity began in Indiana:
No, explain
Already filing
Protected by PL86-272
Other, explain:
Withholding Tax
Yes
Date activity began in Indiana:
No, explain
Already filing
Exempt
Other, explain:
Other Tax Type
Yes
Date activity began in Indiana:
No
8. Describe customer’s activity in Indiana.
Years:
9. List property (real, personal, tangible or intangible) owned or rented in Indiana.
Years:
10. Additional Information
1. What is the approximate liability (by tax type) for each of the years? If unknown, please state.
2. Has any Indiana tax been collected or withheld?
Yes
No
If yes, what is the initial date of collection?
3. Has sales tax been paid to a vendor in error for which a credit is being claimed?
Yes
No
If extra space is needed anywhere on this form, please attach additional pages.
Preparer’s Signature: _______________________________________
Date: _____________________________________
(not required if emailed)
(mm-dd-yyyy)
ADVERTISEMENT
Page of 2