Form TC-43 "Voluntary Disclosure Program Application" - Utah

What Is Form TC-43?

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

Form Details:

  • Released on November 1, 2019;
  • The latest edition provided by the Utah State Tax Commission;
  • 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 TC-43 by clicking the link below or browse more documents and templates provided by the Utah State Tax Commission.

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Download Form TC-43 "Voluntary Disclosure Program Application" - Utah

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Clear form
Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • 801-297-2200 or 1-800-662-4335 • tax.utah.gov
TC-43
Voluntary Disclosure Program Application
Rev. 11/19
General Instructions:
• Answer all questions fully. If this application is incomplete, it will not be processed.
• Save the completed application as a PDF file and email it to
nexus@utah.gov
.
• Email any questions to
nexus@utah.gov
or call 801-297-4600.
Contact Information
Contact name
Company name
Email address
Phone
Address
City
State
ZIP
Applicant Questions
1. Check your organizational structure
 C Corporation
 S Corporation
 Partnership
 LLC
 Sole Proprietor
 Other: _ _ _ ___ __ ___
2. What type of business activity do you conduct in Utah?
3. Approximately when did you start conducting business in Utah?
Month
Day
Year
4. List the type of property you own or lease in Utah:
5. List all equipment you lease in Utah:
6. Do you have employees who reside or are stationed in Utah?
 
 Yes
 No
If yes, do you have a Withholding tax account?
 
 Yes
 No
7. Do representatives or independent contractors enter Utah that act on your behalf?
 Yes
 No
If yes, answer the following:
a. Number of representatives entering Utah
________________________
b. Average number of visits per year
________________________
c. Average length of visit
________________________
8. How are Utah sales/business solicited?
continued on page 2
Clear form
Utah State Tax Commission
210 N 1950 W • Salt Lake City, UT 84134 • 801-297-2200 or 1-800-662-4335 • tax.utah.gov
TC-43
Voluntary Disclosure Program Application
Rev. 11/19
General Instructions:
• Answer all questions fully. If this application is incomplete, it will not be processed.
• Save the completed application as a PDF file and email it to
nexus@utah.gov
.
• Email any questions to
nexus@utah.gov
or call 801-297-4600.
Contact Information
Contact name
Company name
Email address
Phone
Address
City
State
ZIP
Applicant Questions
1. Check your organizational structure
 C Corporation
 S Corporation
 Partnership
 LLC
 Sole Proprietor
 Other: _ _ _ ___ __ ___
2. What type of business activity do you conduct in Utah?
3. Approximately when did you start conducting business in Utah?
Month
Day
Year
4. List the type of property you own or lease in Utah:
5. List all equipment you lease in Utah:
6. Do you have employees who reside or are stationed in Utah?
 
 Yes
 No
If yes, do you have a Withholding tax account?
 
 Yes
 No
7. Do representatives or independent contractors enter Utah that act on your behalf?
 Yes
 No
If yes, answer the following:
a. Number of representatives entering Utah
________________________
b. Average number of visits per year
________________________
c. Average length of visit
________________________
8. How are Utah sales/business solicited?
continued on page 2
TC-43_2
9. What tax type(s) do you currently file?
 Sales and Use tax
 Corporate Franchise/Income tax
 None
 Withholding tax
 Other tax type: _ _ _________
10. For which tax type(s) are you requesting relief?
 Sales and Use tax
 Corporate Franchise/Income tax
 Withholding tax
 Other tax type: _ _ _________
11. If you are requesting relief from only one tax type, why are other tax types not being requested?
12. Proposed disclosure period (3 year look-back from current period for all tax types):
a. Sales and Use tax
____________________________
b. Corporate Franchise/Income tax
____________________________
c. Withholding tax
____________________________
d. Other tax type: _ _ _ _ _ _ _ _ _
____________________________
13. Estimated tax liability you are offering for the disclosure period:
a. Sales and Use tax
$ ___________________________
b. Corporate Franchise/Income tax
$ ___________________________
c. Withholding tax
$ ___________________________
d. Other tax type: _ _ _ _ _ _ _ _ _ $ ___________________________
14. Estimated tax liability you are requesting to be forgiven prior to the disclosure period:
a. Sales and Use tax
$ ___________________________
b. Corporate Franchise/Income tax
$ ___________________________
c. Withholding tax
$ ___________________________
d. Other tax type: _ _ _ _ _ _ _ _ _ $ ___________________________
15. Have you ever collected or withheld Utah taxes?
 Yes
 No
16. Have you ever been contacted by the Multistate Tax Commission or by the Utah State Tax Commission?
 
 Yes
 No
If yes, describe the nature of the contact:
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