Tax Dispute Resolution Services Intake Form
Please provide your details and information about your tax dispute to begin the resolution process.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you submitting this dispute as an individual or on behalf of a business/entity?
*
Individual
Business/Entity
Business/Entity Name (if applicable)
Type of Tax Dispute
*
Please Select
Income Tax
Sales Tax
Property Tax
Payroll Tax
Other
Tax Year(s) Involved
*
Tax Authority/Agency Involved
*
Amount in Dispute (approximate)
*
Briefly describe the reason for your tax dispute
*
Upload any supporting documents (e.g., tax notices, correspondence, receipts)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Preferred method of contact
*
Email
Phone
Other
Additional comments or information (optional)
Signature
*
Submit
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