Form Tc-103 - Request For Hearing Before The Utah State Tax Commission
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TC-103
Request for Hearing before the Utah State Tax Commission
Rev. 5/13
Petitioner
Respondent
Appeal no.
By signing and returning this request, I am opting out of the mediation conference and requesting that the matter be set for a hearing. I
understand that upon receiving this form, the mediation conference scheduled in this matter will be converted to an initial hearing where
all parties will be expected to present evidence in support of their position.
Date
Type or print name
Signature
Address
Phone number
NOTE: To give fair notice to all parties, please mail this form to the Appeals Unit and send a copy to the opposing party at least 15 days
prior to the date of the scheduled mediation conference.
The Tax Commission Appeals Unit will accept all written submissions by email, mail, or fax.
For assistance and questions with this form, contact the Appeals Unit by email or phone.
Utah State Tax Commission
Appeals Unit
210 North 1950 West
Salt Lake City, Utah 84134-6200
Phone: 801-297-3900 or 801-297-3904
Fax: 801-297-3919
Email: taxappeals@utah.gov
To send a copy to the opposing party, use the address for that party found on the certificate of mailing with the notice of the mediation
conference.
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