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The document is a Petition for Redetermination form from the California Department of Tax and Fee Administration (CDTFA), allowing taxpayers to appeal notices of amounts due, such as Notices of Determination or Deficiency Assessments. It outlines the deadlines for filing appeals, the requirements for supporting documents, and options for requesting an appeals conference or Board hearing. The form emphasizes that filing a petition does not protect against interest accrual on unpaid taxes and does not substitute for a claim for refund if overpayment occurs.

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