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| Yes No |
1. Does your request involve
an issue under the jurisdiction of the Associate Chief Counsel (Corporate),
the Associate Chief Counsel (Financial Institutions and Products),
the Associate Chief Counsel (Income Tax and Accounting), the Associate
Chief Counsel (International), the Associate Chief Counsel (Passthroughs
and Special Industries), the Associate Chief Counsel (Procedure and
Administration), or the Division Counsel/Associate Chief Counsel (Tax
Exempt and Government Entities)? See section
3 of Rev. Proc. 2011-1, 2011-1 I.R.B. 1. For issues under the jurisdiction
of other offices, see section 4 of Rev. Proc.
2011-1. (Hereafter, all references are to Rev. Proc. 2011-1 unless
otherwise noted.)
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| Yes No |
2. Have you read Rev. Proc.
2011-3, 2011-1 I.R.B. 111 and Rev. Proc. 2011-7, 2011-1 I.R.B. 233,
to see if part or all of the request involves a matter on which letter
rulings are not issued or are ordinarily not issued?
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| Yes No N/A |
3. If your request involves
a matter on which letter rulings are not ordinarily issued, have you
given compelling reasons to justify the issuance of a letter ruling?
Before preparing your request, you may want to call the branch in
the Office of Associate Chief Counsel (Corporate), the Office of Associate
Chief Counsel (Financial Institutions and Products), the Office of
Associate Chief Counsel (Income Tax and Accounting), the Office of
Associate Chief Counsel (International), the Office of Associate Chief
Counsel (Passthroughs and Special Industries), the Office of Associate
Chief Counsel (Procedure and Administration), or the Office of Division
Counsel/Associate Chief Counsel (Tax Exempt and Government Entities)
responsible for substantive interpretations of the principal Internal
Revenue Code section on which you are seeking a letter ruling to discuss
the likelihood of an exception. For matters under the jurisdiction
of—
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(a) the Office of Associate
Chief Counsel (Corporate), the Office of Associate Chief Counsel (Financial
Institutions and Products), the Office of Associate Chief Counsel
(Income Tax and Accounting), the Office of Associate Chief Counsel
(Passthroughs and Special Industries), or the Office of Division Counsel/Associate
Chief Counsel (Tax Exempt and Government Entities), the Office of
the Associate Chief Counsel (Procedure and Administration), the appropriate
branch to call may be obtained by calling (202) 622-7280 (not a toll-free
call);
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(b) the Office of the Associate Chief Counsel
(International), the appropriate branch to call may be obtained by
calling (202) 622-3800 (not a toll-free call).
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| Yes No N/A Page |
4. If the request deals with
a completed transaction, have you filed the return for the year in
which the transaction was completed? See section
5.01.
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| Yes No |
5. Are you requesting the
letter ruling on a hypothetical situation or question? See section 6.12.
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| Yes No |
6. Are you requesting the
letter ruling on alternative plans of a proposed transaction? See section 6.12.
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| Yes No |
7. Are you requesting the
letter ruling for only part of an integrated transaction? See sections 6.03.
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| Yes No |
8. Are you requesting the
letter ruling for a business, trade, industrial association, or similar
group concerning the application of tax law to its members? See section 6.05.
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| Yes No |
9. Are you requesting the
letter ruling for a foreign government or its political subdivision?
See section 6.07.
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| Yes No Pages |
10. Have you included a complete
statement of all the facts relevant to the transaction? See section 7.01(1).
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| Yes No N/A |
11. Have you submitted with
the request true copies of all wills, deeds, and other documents relevant
to the transaction, and labeled and attached them in alphabetical
sequence? See section 7.01(2).
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| Yes No N/A |
12. Have you submitted with
the request a copy of all applicable foreign laws, and certified English
translations of documents that are in a language other than English
or of foreign laws in cases where English is not the official language
of the foreign country involved? See section
7.01(2).
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| Yes No |
13. Have you included an
analysis of facts and their bearing on the issues? Have you included,
rather than merely incorporated by reference, all material facts from
the documents in the request? See section 7.01(3).
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| Yes No Page |
14. Have you included the
required statement regarding whether any return of the taxpayer (or
any return of a related taxpayer within the meaning of § 267
or of a member of an affiliated group of which the taxpayer is also
a member within the meaning of § 1504) who would be affected
by the requested letter ruling or determination letter is currently
or was previously under examination, before Appeals, or before a Federal
court? See section 7.01(4).
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| Yes No Page |
15. Have you included the
required statement regarding whether the Service previously ruled
on the same or similar issue for the taxpayer, a related taxpayer,
or a predecessor? See section 7.01(5)(a).
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| Yes No Page |
16. Have you included the
required statement regarding whether the taxpayer, a related taxpayer,
a predecessor, or any representatives previously submitted a request
(including an application for change in method of accounting) involving
the same or similar issue but withdrew the request before the letter
ruling or determination letter was issued? See section 7.01(5)(b).
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| Yes No Page |
17. Have you included the
required statement regarding whether the taxpayer, a related taxpayer,
or a predecessor previously submitted a request (including an application
for change in method of accounting) involving the same or similar
issue that is currently pending with the Service? See section 7.01(5)(c).
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| Yes No Page |
18. Have you included the
required statement 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 method of accounting)
involving the same or similar issue to the Service? See section 7.01(5)(d).
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| Yes No N/A Page |
19. If your request involves
the interpretation of a substantive provision of an income or estate
tax treaty, have you included the required statement 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? See section
7.01(6).
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| Yes No N/A Page |
20. If your request is for
recognition of Indian tribal government status or status as a political
subdivision of an Indian tribal government, does your request contain
a letter from the Bureau of Indian Affairs regarding the tribe’s
status? See section 7.01(7), which states that
taxpayers are encouraged to submit this letter with the request and
provides the address for the Bureau of Indian Affairs.
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| Yes No Pages |
21. Have you included the
required statement of relevant authorities in support of your views?
See section 7.01(8).
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| Yes No Page |
22. Have you included the
required statement regarding whether the law in connection with the
request is uncertain and whether the issue is adequately addressed
by relevant authorities? See section 7.01(8).
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| Yes No Pages |
23. Does your request discuss
the implications of any legislation, tax treaties, court decisions,
regulations, notices, revenue rulings, or revenue procedures that
you determined to be contrary to the position advanced? See section 7.01(9), which states that taxpayers are encouraged
to inform the Service of such authorities.
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| Yes No N/A Page |
24. If you determined that
there are no contrary authorities, have you included a statement to
this effect in your request? See section 7.01(9).
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| Yes No N/A Page |
25. Have you included in
your request a statement identifying any pending legislation that
may affect the proposed transaction? See section
7.01(10).
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| Yes No |
26. Is the request accompanied
by the deletion statement required by § 6110? See section 7.01(11).
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| Yes No Page |
27. Have you (or your authorized
representative) signed and dated the request? See section 7.01(12).
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| Yes No N/A |
28. If the request is signed
by your representative or if your representative will appear before
the Service in connection with the request, is the request accompanied
by a properly prepared and signed power of attorney with the signatory’s
name typed or printed? See section 7.01(14).
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| Yes No Page |
29. Have you included, signed,
and dated the penalties of perjury statement in the format required
by section 7.01(15)?
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| Yes No N/A |
30. Are you submitting your
request in duplicate if necessary? See section
7.01(16).
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| Yes No N/A Pages |
31. If you are requesting
separate letter rulings on different issues involving one factual
situation, have you included a statement to that effect in each request?
See section 7.02(1).
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| Yes No N/A |
32. If you want copies of
the letter ruling sent to a representative, does the power of attorney
contain a statement to that effect? See section
7.02(2).
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| Yes No N/A |
33. If you do not want a
copy of the letter ruling to be sent to any representative, does the
power of attorney contain a statement to that effect? See section 7.02(2).
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| Yes No N/A |
34. If you are making a two-part
letter ruling request, have you included a summary statement of the
facts you believe to be controlling? See section
7.02(3).
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| Yes No N/A Page |
35. If you want your letter
ruling request to be processed ahead of the regular order or by a
specific date, have you requested expedited handling in the manner
required by section 7.02(4) and stated a compelling need for such
action in the request? Note that certain requests under the jurisdiction
of the Associate Chief Counsel (Corporate) may receive expedited treatment
without stating a compelling need. See section
7.02(4) of this revenue procedure.
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| Yes No N/A Page |
36. If you are requesting
a copy of any document related to the letter ruling request to be
sent by facsimile (fax) transmission, have you included a statement
to that effect? See section 7.02(5).
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| Yes No N/A Page |
37. If you want to have a
conference on the issues involved in the request, have you included
a request for conference in the letter ruling request? See section 7.02(6).
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| Yes No |
38. Have you included the
correct user fee with the request and is your check or money order
in U.S. dollars and payable to the Internal Revenue Service? See section 15 and Appendix A to determine the correct
amount.
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| Yes No N/A Page |
39. If your request involves
a personal tax issue and you qualify for the reduced user fee because
your gross income is less than $250,000, have you included the required
certification? See paragraphs (A)(4)(a) and
(B)(1) of Appendix A.
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| Yes No N/A Page |
40. If your request involves
a business-related tax issue and you qualify for the reduced user
fee because your gross income is less than $1 million, have you included
the required certification? See paragraphs (A)(4)(b)
and (B)(1) of Appendix A.
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| Yes No N/A Page |
41. If you qualify for the
user fee for substantially identical letter rulings, have you included
the required information? See section 15.07(2)
and paragraph (A)(5)(a) of Appendix A.
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| Yes No N/A Page |
42. If you qualify for the
user fee for a § 301.9100 request to extend the time for
filing an identical change in method of accounting on a single Form
3115, Application for Change in Accounting Method, have you included the required information? See section 15.07(4) and paragraph (A)(5)(d) of Appendix A.
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| Yes No N/A |
43. If your request is covered
by any of the checklists, guideline revenue procedures, notices,
safe harbor revenue procedures, or other special requirements listed
in Appendix E, have you complied with all of the requirements of the
applicable revenue procedure or notice?
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| Rev. Proc. |
List other applicable revenue procedures or
notices, including checklists, used or relied upon in the preparation
of this letter ruling request (Cumulative Bulletin or Internal Revenue
Bulletin citation not required).
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| Yes No N/A Page |
44. If you are requesting
relief under § 7805(b) (regarding retroactive effect), have
you complied with all of the requirements in section 11.11?
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| Yes No N/A |
45. If you are requesting
relief under § 301.9100 for a late entity classification
election, have you included a statement that complies with section
4.04 of Rev. Proc. 2009-41, 2009-2 C.B. 439? See section 5.03(5) of this revenue procedure.
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| Yes No |
46. Have you addressed your
request to the attention of the Associate Chief Counsel (Corporate),
the Associate Chief Counsel (Financial Institutions and Products),
the Associate Chief Counsel (Income Tax and Accounting), the Associate
Chief Counsel (International), the Associate Chief Counsel (Passthroughs
and Special Industries), the Associate Chief Counsel (Procedure and
Administration), or the Division Counsel/Associate Chief Counsel (Tax
Exempt and Government Entities), as appropriate? The mailing address
is:
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