| INSTRUCTIONS |
| To assist you in preparing a letter
ruling request, the Service is providing this sample format. You are not required
to use this sample format. If your request is not identical or similar to
the sample format, the different format will not defer consideration of your
request.
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(Insert the date of request) |
| Internal Revenue Service Insert
either: Associate Chief Counsel (Insert one of the following: Corporate,
Financial Institutions and Products, Income Tax and Accounting, International,
Passthroughs and Special Industries, or Procedure and
Administration) or Division Counsel/Associate Chief Counsel
(Tax Exempt and Government Entities) Attn: CC:PA:LPD:DRU P.O. Box 7604 Ben
Franklin Station Washington, D.C. 20044
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| Dear Sir or Madam: |
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| (Insert the name of the taxpayer)
requests a ruling on the proper treatment of (insert the subject
matter of the letter ruling request) under section (insert
the number) of the Internal Revenue Code.
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| [If the taxpayer is requesting expedited
handling, a statement to that effect must be attached to, or contained in,
the letter ruling request. The statement must explain the need for expedited
handling. See section 7.02(4) of Rev. Proc. 2005-1, 2005-1
I.R.B. 1. Hereafter, all references are to Rev. Proc. 2005-1 unless otherwise
noted.]
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| A. STATEMENT
OF FACTS |
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| 1. Taxpayer Information |
| [Provide the statements required by sections
7.01(1)(a) and (b).]
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| 2. Description of Taxpayer’s Business
Operations
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| [Provide the statement required by section
7.01(1)(c).]
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| 3. Facts Relating to Transaction |
| [The ruling request must contain a complete
statement of the facts relating to the transaction that is the subject of
the letter ruling request. This statement must include a detailed description
of the transaction, including material facts in any accompanying documents,
and the business reasons for the transaction. See sections
7.01(1)(d), 7.01(1)(e), and 7.01(2).]
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| B. RULING REQUESTED |
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| [The ruling request should contain a concise
statement of the ruling requested by the taxpayer. It is preferred that the
language of the requested ruling be exactly the same as that the taxpayer
wishes to receive.]
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| C. STATEMENT
OF LAW |
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| [The ruling request must contain a statement
of the law in support of the taxpayer’s views or conclusion and identify
any pending legislation that may affect the proposed transaction. The taxpayer
also is encouraged to identify and discuss any authorities believed to be
contrary to the position advanced in the ruling request. See sections
7.01(6), 7.01(8), 7.01(9), and 7.01(10).]
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| D. ANALYSIS |
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| [The ruling request must contain a discussion
of the facts and an analysis of the law. The taxpayer also is encouraged to
identify and discuss any authorities believed to be contrary to the position
advanced in the ruling request. See sections 7.01(3),
7.01(6), 7.01(8), 7.01(9), and 7.01(10).]
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| E. CONCLUSION |
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| [The ruling request should contain a statement
of the taxpayer’s conclusion on the ruling requested.]
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| F. PROCEDURAL
MATTERS |
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| 1. Revenue Procedure 2005-1 Statements |
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a. |
[Provide the statement required by section
7.01(4) regarding whether the same issue in the letter ruling request is in
an earlier return of the taxpayer or in a return for any year of a related
taxpayer.]
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b. |
[Provide the statement required by section
7.01(5)(a) regarding whether the Service previously ruled on the same or similar
issue for the taxpayer, a related taxpayer, or a predecessor.]
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c. |
[Provide the statement required by section
7.01(5)(b) regarding whether the taxpayer, a related taxpayer, a predecessor,
or any representatives previously submitted a request (including an application
for change in accounting method) involving the same or similar issue but withdrew
the request before a letter ruling or determination letter was issued.]
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d. |
[Provide the statement required by section
7.01(5)(c) regarding whether the taxpayer, a related taxpayer, or a predecessor
previously submitted a request (including an application for change in accounting
method) involving the same or a similar issue that is currently pending with
the Service.]
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e. |
[Provide the statement required by section
7.01(5)(d) regarding whether, at the same time as this request, the taxpayer
or a related taxpayer is presently submitting another request (including an
application for change in accounting method) involving the same or similar
issue to the Service.]
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f. |
[If the letter ruling request involves
the interpretation of a substantive provision of an income or estate tax treaty,
provide the statement required by section 7.01(6) regarding whether the tax
authority of the treaty jurisdiction has issued a ruling on the same or similar
issue for the taxpayer, a related taxpayer, or a predecessor; whether the
same or similar issue is being examined, or has been settled, by the tax authority
of the treaty jurisdiction or is otherwise the subject of a closing agreement
in that jurisdiction; and whether the same or similar issue is being considered
by the competent authority of the treaty jurisdiction.]
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g. |
[Provide the statement required by section
7.01(8) regarding whether the law in connection with the letter ruling request
is uncertain and whether the issue is adequately addressed by relevant authorities.]
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h. |
[If the taxpayer determines that there
are no contrary authorities, a statement to that effect would be helpful. See section
7.01(9).]
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i. |
[If the taxpayer wants to have a conference
on the issues involved in the letter ruling request, the ruling request should
contain a statement to that effect. See section 7.02(6).]
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j. |
[If the taxpayer is requesting a copy
of any document related to the letter ruling request to be sent by facsimile
(fax) transmission, the ruling request should contain a statement to that
effect. See section 7.02(5).]
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k. |
[If the taxpayer is requesting separate
letter rulings on multiple issues, the letter ruling request should contain
a statement to that effect. See section 7.02(1).]
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l. |
[If the taxpayer is seeking to obtain
the user fee provided in paragraph (A)(5)(a) of Appendix A for substantially
identical letter rulings, the letter ruling request must contain the statements
required by section 15.07.]
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| 2. Administrative |
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a. |
[The ruling request should state: “The
deletion statement and checklist required by Rev. Proc. 2005-1 are enclosed.” See sections
7.01(11) and 7.01(18).]
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b. |
[The ruling request should state: “The
required user fee of $ (Insert the amount of the fee)
is enclosed.” Please note that the check or money order must be in U.S.
dollars and made payable to the Internal Revenue Service. See section
15 and Appendix A.]
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c. |
[If the taxpayer’s authorized representative
is to sign the letter ruling request or is to appear before the Service in
connection with the request, the ruling request should state: “A Power
of Attorney is enclosed.” See sections 7.01(13),
7.01(14), and 7.02(2).]
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Sincerely yours, |
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(Insert the name of the taxpayer or the taxpayer’s
authorized representative)
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By: |
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Signature Date |
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Typed or printed name of person signing request |
| DECLARATION: [See section
7.01(15).]
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| Under penalties of perjury, I declare
that I have examined this request, including accompanying documents, and,
to the best of my knowledge and belief, the request contains all the relevant
facts relating to the request, and such facts are true, correct, and complete.
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| (Insert the name of the taxpayer)
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| By: |
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| Signature |
Title Date |
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| Typed or printed name of person signing
declaration
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| [If the taxpayer is a corporation that
is a member of an affiliated group filing consolidated returns, the above
declaration must also be signed and dated by an officer of the common parent
of the group. See section 7.01(15).]
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