Form CDTFA-416 "Petition for Redetermination" - California

What Is Form CDTFA-416?

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

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the California Department of Tax and Fee Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CDTFA-416 by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

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Download Form CDTFA-416 "Petition for Redetermination" - California

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CDTFA-416 REV. 10 (1-18)
STATE OF CALIFORNIA
PETITION FOR REDETERMINATION
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
BUSINESS NAME
ACCOUNT NUMBER
TAXPAYER/FEEPAYER NAME
TYPE OF TAX OR FEE
PETITION FOR REDETERMINATION
Administrative Appeal
Generally, if you have received a notice of amount due from the California Department of Tax and Fee Administration (CDTFA), you may
file an administrative appeal of that notice using this Petition for Redetermination. There are two important deadlines:
1.
If you received a Notice of Determination, a Notice of Deficiency Assessment, or a Notice of Successor Liability, you have
30 days from the date on the notice to appeal.
2.
If you received a Jeopardy Notice of Determination, you only have 10 days from the date listed on that document to appeal
and pay the amount due or deposit security considered acceptable by the CDTFA.
Look carefully at the notice you received for the specific conditions and requirements for filing this petition. Anyone submitting a petition
should be prepared, upon request, to provide documents that support the specific grounds upon which the petition is founded.
I am filing a petition of the notice dated
for the period
in the amount of $
.
Please indicate below the specific grounds upon which the petition is founded (required):
In addition, I have new documentation ready to present for review and consideration.
You have the right to, and may request, an appeals conference. During the review of your petition, CDTFA staff may ask you about your
request for an appeals conference, and confirm whether you still want an appeals conference. You must respond timely to that request. If
your case is accepted into the administrative appeals process, you may request that your case be considered under the CDTFA’s
administrative Settlement Program. Review under the Settlement Program is confidential and will not affect your appeal rights.
Please indicate your requests below:
I request an appeals conference with an Appeals Bureau attorney or auditor at the CDTFA’s nearest office or in the
CDTFA’s Headquarters office in Sacramento.
I request my appeal be considered under the Settlement Program.
SIGNATURE
DATE SIGNED
DAYTIME TELEPHONE NUMBER
PRINTED NAME
TITLE/CAPACITY
EMAIL ADDRESS
If there is a conflict between this form or the notice you received and the law, the law is controlling. The filing of a Petition for Redetermination
does not protect your right to a refund of tax/fee, interest, or penalty amounts paid in excess of amounts legally due. You must timely file a claim
for refund if you believe you have overpaid tax/fee, interest, or penalty amounts. Filing a petition will not prevent interest from accruing on any
unpaid tax/fee due.
CLEAR
PRINT
CDTFA-416 REV. 10 (1-18)
STATE OF CALIFORNIA
PETITION FOR REDETERMINATION
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
BUSINESS NAME
ACCOUNT NUMBER
TAXPAYER/FEEPAYER NAME
TYPE OF TAX OR FEE
PETITION FOR REDETERMINATION
Administrative Appeal
Generally, if you have received a notice of amount due from the California Department of Tax and Fee Administration (CDTFA), you may
file an administrative appeal of that notice using this Petition for Redetermination. There are two important deadlines:
1.
If you received a Notice of Determination, a Notice of Deficiency Assessment, or a Notice of Successor Liability, you have
30 days from the date on the notice to appeal.
2.
If you received a Jeopardy Notice of Determination, you only have 10 days from the date listed on that document to appeal
and pay the amount due or deposit security considered acceptable by the CDTFA.
Look carefully at the notice you received for the specific conditions and requirements for filing this petition. Anyone submitting a petition
should be prepared, upon request, to provide documents that support the specific grounds upon which the petition is founded.
I am filing a petition of the notice dated
for the period
in the amount of $
.
Please indicate below the specific grounds upon which the petition is founded (required):
In addition, I have new documentation ready to present for review and consideration.
You have the right to, and may request, an appeals conference. During the review of your petition, CDTFA staff may ask you about your
request for an appeals conference, and confirm whether you still want an appeals conference. You must respond timely to that request. If
your case is accepted into the administrative appeals process, you may request that your case be considered under the CDTFA’s
administrative Settlement Program. Review under the Settlement Program is confidential and will not affect your appeal rights.
Please indicate your requests below:
I request an appeals conference with an Appeals Bureau attorney or auditor at the CDTFA’s nearest office or in the
CDTFA’s Headquarters office in Sacramento.
I request my appeal be considered under the Settlement Program.
SIGNATURE
DATE SIGNED
DAYTIME TELEPHONE NUMBER
PRINTED NAME
TITLE/CAPACITY
EMAIL ADDRESS
If there is a conflict between this form or the notice you received and the law, the law is controlling. The filing of a Petition for Redetermination
does not protect your right to a refund of tax/fee, interest, or penalty amounts paid in excess of amounts legally due. You must timely file a claim
for refund if you believe you have overpaid tax/fee, interest, or penalty amounts. Filing a petition will not prevent interest from accruing on any
unpaid tax/fee due.
CLEAR
PRINT