Form CB-2 "Notice of Referral to the Office of Dispute Resolution" - Montana

What Is Form CB-2?

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

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the Montana 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 fillable version of Form CB-2 by clicking the link below or browse more documents and templates provided by the Montana Department of Revenue.

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Download Form CB-2 "Notice of Referral to the Office of Dispute Resolution" - Montana

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Notice of Referral
CB-2
to the Office of Dispute Resolution
V1 10/2020
Clear Form
File this form to appeal the determination made by the Department of Revenue’s Collections Bureau or Other Agency Debt Unit.
If you need additional help, call us at (406) 444-6964.
Account Information
Name of taxpayer, debtor, or business
SSN
Address
FEIN
City
State
ZIP Code
Name of spouse (if joint debt) or individual liable (if business debt)
Spouse’s or individual liable’s SSN
Telephone number
Fax number
Email address
Debt information
Authorization of Representative
If you would like to have another individual represent you during your informal review process, please provide the information
below and attach a completed Power of Attorney form, which can be found at
MTRevenue.gov,
or call us at (406) 444-6900.
A fully executed federal Form 2848, Power of Attorney and Declaration of Representative is also acceptable.
Name of Representative
Telephone number
Basis for Objection
As required by law (and to avoid denial of your request) you must provide a written explantion of the basis for your objection.
Use the space below and additional sheets as needed. Please include a copy of the Request for Informal Review (Form CB-1)
that you previously submitted.
M M D
D
Y
Y
Y
Y
Date of the Collections Bureau’s or Other Agency Debt’s Determination
The following issues are the basis for objection:
Signature of taxpayer/debtor or individual liable
Title
Date
Spouse’s Signature (if joint debt)
Date
Please mail this form to:
Montana Department of Revenue
Office of Dispute Resolution
PO Box 5805, Helena, MT, 59604-5805
Or email to DORDisputeResolution@mt.gov.
Questions? Call us at (406) 444-6964, or Montana Relay at 711 for the hearing impaired.
Notice of Referral
CB-2
to the Office of Dispute Resolution
V1 10/2020
Clear Form
File this form to appeal the determination made by the Department of Revenue’s Collections Bureau or Other Agency Debt Unit.
If you need additional help, call us at (406) 444-6964.
Account Information
Name of taxpayer, debtor, or business
SSN
Address
FEIN
City
State
ZIP Code
Name of spouse (if joint debt) or individual liable (if business debt)
Spouse’s or individual liable’s SSN
Telephone number
Fax number
Email address
Debt information
Authorization of Representative
If you would like to have another individual represent you during your informal review process, please provide the information
below and attach a completed Power of Attorney form, which can be found at
MTRevenue.gov,
or call us at (406) 444-6900.
A fully executed federal Form 2848, Power of Attorney and Declaration of Representative is also acceptable.
Name of Representative
Telephone number
Basis for Objection
As required by law (and to avoid denial of your request) you must provide a written explantion of the basis for your objection.
Use the space below and additional sheets as needed. Please include a copy of the Request for Informal Review (Form CB-1)
that you previously submitted.
M M D
D
Y
Y
Y
Y
Date of the Collections Bureau’s or Other Agency Debt’s Determination
The following issues are the basis for objection:
Signature of taxpayer/debtor or individual liable
Title
Date
Spouse’s Signature (if joint debt)
Date
Please mail this form to:
Montana Department of Revenue
Office of Dispute Resolution
PO Box 5805, Helena, MT, 59604-5805
Or email to DORDisputeResolution@mt.gov.
Questions? Call us at (406) 444-6964, or Montana Relay at 711 for the hearing impaired.