STATE OF CALIFORNIA FRANCHISE TAX BOARD PO BOX 942857 SACRAMENTO CA 94257-2021 TELEPHONE: (916) 845-7033 (800) 852-5711
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Application of Relief from Contract Voidability
Before the Franchise Tax Board of the State of California
In the Matter of the Relief from Contract Voidability of : Entity Number Entity Name Address : : :
On behalf of the above entity, I am requesting relief from contract voidability under California Revenue and Taxation Code section 23305.1. I am requesting relief for the period beginning on and ending on . I have previously submitted the required payment, returns, or documents.
Print Name ______________________________ Signature _______________________________
Title ________________________________ Date of Application ____________________
Daytime Telephone Number _________________________ Those who can sign this application on behalf of an entity (domestic or foreign) include: • • Any stockholder, creditor, member, general partner, or officer. Any person having an interest in relief from suspension or forfeiture.
FTB 2518 BC C1 (NEW 07-2004)