
BFR-003 (04262018)
Each number of the following instructions corresponds to the number of the appropriate
section of the petition form. Complete all information applicable to your case.
1. Include the Board of Appeals Docket Number if available.
2. Complete all information. If Petitioner is not an individual, include a contact person.
3. Completed only if Petitioner intends to be represented by another. If so, all correspondence will be
sent to the representative.
4. Complete all information, including the tax amount you are appealing. Check one of the two blocks
indicating type of petition.
5. Hearings, if requested, are held in Harrisburg and via a video-conference site from Pittsburgh. Notice
of the hearing date will be sent to the Petitioner or the Petitioner's representative. The Department of
Revenue may attend a hearing and present argument to the Board.
Request for Compromise Form located at
www.patreasury.gov/bfrassets/pdf/CompromiseForm.pdf
If the determination of the issue(s) involved in a Petitioner's case would be governed by the decision
of a case pending before a court, the Petitioner may request that its case be continued until the
listed for hearing or decided on the record within six months.
6. All petitions must be signed by Petitioner or an authorized representative.
7.
a. The petition must contain a statement of all pertinent facts and/or points of law upon which the
Petitioner relies. Calculations showing the proper amount of tax or refund should be supplied.
All evidence in support of the arguments set forth should be submitted with the petition or
the Board.
b. Explain in detail why the relief requested should be granted. Attach a copy of the notice being
appealed (usually the BOA Decision). Petitions for Refund must be accompanied by proof of
payment. When appealing sales and use tax, if possible include a copy of the audit,
assessment and a REV-39 Appeal Schedule. When appealing personal income tax, include a
copy of the PA-40 with schedule(s) for the year(s) at issue.
Board of Finance & Revenue
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