Form DR-370026 "Agreement to Audit Refund Claim" - Florida

What Is Form DR-370026?

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

Form Details:

  • Released on April 1, 2018;
  • The latest edition provided by the Florida 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 printable version of Form DR-370026 by clicking the link below or browse more documents and templates provided by the Florida Department of Revenue.

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Download Form DR-370026 "Agreement to Audit Refund Claim" - Florida

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DR-370026
Agreement to Audit Refund Claim
R.
04/18
Rule 12-26.008
Florida Administrative Code
Effective Date 04/18
The Florida Department of Revenue and _______________________________________
____________________________
Taxpayer Name
Business Partner# or FEIN
_______________________________________________ _______________________ _________________ ______________
Street Address
City
State
ZIP
______________________________________________________
__________________________________________________
Telephone Number
Fax Number
both agree that:
• An audit or confirmation is needed to support the refund claim.
• The field audit or confirmation of the refund claim will take place at:
_________________________________________ _______________________ _________________ ______________
Street Address
City
State
ZIP
• Interest will not begin until the audit or confirmation of the refund claim is final as provided in section 213.255(4),
Florida Statutes.
• Florida law requires that refund claims be supported with sufficient information and documentation to determine
eligibility and the amount of the refund claim due. The information and documentation must be available at your
business location within 30 days from the date requested by the local Department auditor.
• If the supporting documentation is not made available to the local Department auditor within 30 days from the date
requested, or an extension of that date, the refund request will be denied.
• This agreement is not binding until signed by the Taxpayer (or authorized representative) and the Department.
• You do not waive any rights to any informal protest or appeal procedure provided in Rule Chapter 12-6, F.A.C., or to
any formal proceedings provided in Sections 120.569 and 120.57, F.S., by signing this Agreement.
______________________________________________________
__________________________________________________
Taxpayer or Authorized Representative Signature*
Date Signed
______________________________________________________
Title or Designation
* If signing as an authorized representative of the taxpayer,
you must attach a properly executed Power of Attorney (Form DR-835).
Florida Department of Revenue (Authorized Agent) By:
______________________________________________________
__________________________________________________
Print Name
Title
______________________________________________________
__________________________________________________
Signature
Date Signed
______________________________________________________
__________________________________________________
Service Center
Telephone Number
______________________________________________________
__________________________________________________
Refund Control Number
Audit Number
DR-370026
Agreement to Audit Refund Claim
R.
04/18
Rule 12-26.008
Florida Administrative Code
Effective Date 04/18
The Florida Department of Revenue and _______________________________________
____________________________
Taxpayer Name
Business Partner# or FEIN
_______________________________________________ _______________________ _________________ ______________
Street Address
City
State
ZIP
______________________________________________________
__________________________________________________
Telephone Number
Fax Number
both agree that:
• An audit or confirmation is needed to support the refund claim.
• The field audit or confirmation of the refund claim will take place at:
_________________________________________ _______________________ _________________ ______________
Street Address
City
State
ZIP
• Interest will not begin until the audit or confirmation of the refund claim is final as provided in section 213.255(4),
Florida Statutes.
• Florida law requires that refund claims be supported with sufficient information and documentation to determine
eligibility and the amount of the refund claim due. The information and documentation must be available at your
business location within 30 days from the date requested by the local Department auditor.
• If the supporting documentation is not made available to the local Department auditor within 30 days from the date
requested, or an extension of that date, the refund request will be denied.
• This agreement is not binding until signed by the Taxpayer (or authorized representative) and the Department.
• You do not waive any rights to any informal protest or appeal procedure provided in Rule Chapter 12-6, F.A.C., or to
any formal proceedings provided in Sections 120.569 and 120.57, F.S., by signing this Agreement.
______________________________________________________
__________________________________________________
Taxpayer or Authorized Representative Signature*
Date Signed
______________________________________________________
Title or Designation
* If signing as an authorized representative of the taxpayer,
you must attach a properly executed Power of Attorney (Form DR-835).
Florida Department of Revenue (Authorized Agent) By:
______________________________________________________
__________________________________________________
Print Name
Title
______________________________________________________
__________________________________________________
Signature
Date Signed
______________________________________________________
__________________________________________________
Service Center
Telephone Number
______________________________________________________
__________________________________________________
Refund Control Number
Audit Number
DR-370026
R. 04/18
References
The following documents were mentioned in this form and are incorporated by reference in the rules indicated below.
The forms are available online at floridarevenue.com/forms.
Form DR-835
Power of Attorney and Declaration of
Rule 12-6.0015, F.A.C.
Representative
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