Fillable Printable Form AA-AUD1 - Audit Appeal for International Registration Plan - New York

Form AA-AUD1 - Audit Appeal for International Registration Plan - New York

AUDIT APPEAL FORM FOR INTERNATIONAL

REGISTRATION PLAN REGISTRANTS

FOR OFFICE USE ONLY

$10 Appeal Fee received:

YES

Date Received: / /

Check or Money Order #:

YOU MUST SEND THIS COMPLETED APPEAL FORM AND A $10 APPEAL FEE WITHIN 30 DAYS AFTER THE

DATE OF THE AUDIT FINDINGS LETTER THAT YOU RECEIVED. Please pay the appeal fee by money order or check,

payable to the Commissioner of Motor Vehicles. Print your Audit Number on your check or money order. Do Not Send

Cash.

The U.S. Postal Service postmark date will be used to determine if you have met the 30-day filing requirement.

Send your completed appeal form and non-refundable $10 appeal fee to:

NYS DMV Appeals Board

DMV Appeals Processing Unit

PO Box 2935

Albany, NY 12220-0935

CERTIFICATION:

I affirm under penalty of perjury that all of the information on this form and all supporting documents submitted with this

appeal are true.

Print Name: __________________________________________

SIGN HERE: __________________________________________

TYPE or PRINT your information in the boxes below.

Last Name

First Name

M.I.

Name of the Business

IRP Account No.

MAILING ADDRESS (Number and Street)*

City or Town

State

Zip Code

AA-AUD1 (2/15)

PAGE 1 OF 2

Personal appearances to present arguments to the DMV Appeals Board are not permitted. Receipt of your appeal form

will be acknowledged in writing. If you do not receive an acknowledgment within 20 days of mailing this form, contact

the Appeals Board immediately at the address above or at

(518) 474-1052.

Audit No.

Attorney name and address, if applicable:

*All correspondence for this appeal will be sent to the address supplied on this appeal form. You must notify the Appeals Board in writing immediately

of any change of address that occurs after this appeal is filed.

In the space below, state the reasons why you are filing this appeal. Type or print clearly. Do not leave this section blank.

READ AND SIGN THE CERTIFICATION AT THE BOTTOM OF THIS PAGE.

DMV USE ONLY

reset/clear

If you want to appeal the enclosed audit findings, you must complete and submit page 1 of this form (AA-AUD1) and a

$10 APPEAL PROCESSING FEE to the NYS DMV APPEALS BOARD WITHIN 30 DAYS OF THE DATE OF THE

ENCLOSED LETTER.

Instructions for filing appeals are on page 1 of this form.

Both the completed, signed appeal form and the appeal fee must be filed with the New York State Department of Motor

Vehicles Appeals Board within the required 30-day period. Completed appeal forms and fees should be mailed to:

AA-AUD1 (2/15)

PAGE 2 OF 2

NYS DMV Appeals Board

Appeals Processing Unit

PO Box 2935

Albany, NY 12220-0935

Requests for appeal forms or questions about filing an appeal may be directed to the NYS DMV Appeals Board in writing at

the address above or by telephone at

(518) 474-1052.

INFORMATION ABOUT IRP AUDIT APPEALS