Form CDTFA-393 "Settlement Review Request for Sales and Use Tax and Special Taxes and Fee Cases" - California

What Is Form CDTFA-393?

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 July 1, 2017;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of Form CDTFA-393 by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

ADVERTISEMENT
ADVERTISEMENT

Download Form CDTFA-393 "Settlement Review Request for Sales and Use Tax and Special Taxes and Fee Cases" - California

1112 times
Rate (4.3 / 5) 78 votes
CDTFA-393 REV. 6 (7-17)
STATE OF CALIFORNIA
SETTLEMENT REVIEW REQUEST FOR
CALIFORNIA DEPARTMENT OF
SALES AND USE TAX AND SPECIAL TAXES AND FEE CASES
TAX AND FEE ADMINISTRATION
SETTLEMENT REVIEW REQUEST
BUSINESS NAME
ACCOUNT NUMBER(S)
TAXPAYER/FEEPAYER
CASE NUMBER(S)
Generally, while you are pursuing an appeal before the California Department of Tax and Fee Administration (CDTFA),
you may request consideration of your case under the Settlement Program. Examples of appeals are a petition for
redetermination, an administrative protest, or a claim for refund.
As long as your case remains under appeal, you may submit a Settlement Request. You should submit your request at least
15 days prior to your oral hearing before the Board Members. The Settlement Program considers all Settlement Requests
and subsequent communications confidential, and does not share this information with other CDTFA departments, sections,
or units.
I request that the tax or fee amount in question for the above account(s) established on
(DATE OF NOTICE, BILLING OR REFUND CLAIM)
for the period(s)
through
(MONTH/DAY/YEAR)
(MONTH/DAY/YEAR)
receive settlement consideration for the reason(s) previously set forth in my appeal
and/or for the reasons detailed below (optional):
I understand settlement is discretionary, that offers are subject to review, and only those considered reasonable by the
CDTFA’s Settlement Section staff will be forwarded to CDTFA management for approval.
SIGNATURE
DATE
TELEPHONE NUMBER
PRINTED NAME
TITLE/CAPACITY
EMAIL ADDRESS
NOTE:
The Settlement Program does not currently apply to disputes involving the jet fuel tax, motor vehicle fuel tax, fire prevention fee,
or to insurance tax disputes. Also, with the exception of disputes pertaining to the Childhood Lead Poisoning Prevention Fee
and the Occupational Lead Poisoning Prevention Fee, disputes involving Hazardous Substances Tax Law are administered by the
Department of Toxic Substances Control.
You may email your proposal to settlement@cdtfa.ca.gov, fax it to 1-916-323-3387, or mail it to:
Assistant Chief Counsel, Settlement & Taxpayer Services Division MIC:87, California Department of Tax and Fee Administration,
PO Box 942879, Sacramento, CA 94279-0087.
PRINT
CLEAR
CDTFA-393 REV. 6 (7-17)
STATE OF CALIFORNIA
SETTLEMENT REVIEW REQUEST FOR
CALIFORNIA DEPARTMENT OF
SALES AND USE TAX AND SPECIAL TAXES AND FEE CASES
TAX AND FEE ADMINISTRATION
SETTLEMENT REVIEW REQUEST
BUSINESS NAME
ACCOUNT NUMBER(S)
TAXPAYER/FEEPAYER
CASE NUMBER(S)
Generally, while you are pursuing an appeal before the California Department of Tax and Fee Administration (CDTFA),
you may request consideration of your case under the Settlement Program. Examples of appeals are a petition for
redetermination, an administrative protest, or a claim for refund.
As long as your case remains under appeal, you may submit a Settlement Request. You should submit your request at least
15 days prior to your oral hearing before the Board Members. The Settlement Program considers all Settlement Requests
and subsequent communications confidential, and does not share this information with other CDTFA departments, sections,
or units.
I request that the tax or fee amount in question for the above account(s) established on
(DATE OF NOTICE, BILLING OR REFUND CLAIM)
for the period(s)
through
(MONTH/DAY/YEAR)
(MONTH/DAY/YEAR)
receive settlement consideration for the reason(s) previously set forth in my appeal
and/or for the reasons detailed below (optional):
I understand settlement is discretionary, that offers are subject to review, and only those considered reasonable by the
CDTFA’s Settlement Section staff will be forwarded to CDTFA management for approval.
SIGNATURE
DATE
TELEPHONE NUMBER
PRINTED NAME
TITLE/CAPACITY
EMAIL ADDRESS
NOTE:
The Settlement Program does not currently apply to disputes involving the jet fuel tax, motor vehicle fuel tax, fire prevention fee,
or to insurance tax disputes. Also, with the exception of disputes pertaining to the Childhood Lead Poisoning Prevention Fee
and the Occupational Lead Poisoning Prevention Fee, disputes involving Hazardous Substances Tax Law are administered by the
Department of Toxic Substances Control.
You may email your proposal to settlement@cdtfa.ca.gov, fax it to 1-916-323-3387, or mail it to:
Assistant Chief Counsel, Settlement & Taxpayer Services Division MIC:87, California Department of Tax and Fee Administration,
PO Box 942879, Sacramento, CA 94279-0087.
PRINT
CLEAR