Form 290 Arizona PDF Details

In the landscape of Arizona state taxation, the Arizona Form 290 emerges as a beacon of relief for taxpayers facing penalties. With specific provisions to request penalty abatement, this form is a crucial tool for any taxpayer seeking reprieve under circumstances of reasonable cause. The Arizona Department of Revenue opens a gateway for individuals and businesses alike to present their case, highlighting the importance of understanding the striped-down structure of this form. Starting with basic general information, including taxpayer identification and contact details, the form then guides the applicant through the selection of the tax type under scrutiny, be it individual income tax or something more specific like corporate income or withholding tax. Perhaps the most significant part invites a detailed explanation and supporting documentation for the abatement request, laying the groundwork for a compelling argument backed by evidence ranging from medical reports to financial records. With robust requirements for authorization and a firm warning against fraudulent claims, the Arizona Form 290 encapsulates a blend of accountability, accessibility, and relief within its structured design, underscoring the Arizona Department of Revenue's endeavor to enforce tax laws with a touch of compassion.

QuestionAnswer
Form NameForm 290 Arizona
Form Length3 pages
Fillable?Yes
Fillable fields33
Avg. time to fill out7 min 25 sec
Other namesform 290 arizona, form 290 az, az from 290, arizona 290 form

Form Preview Example

Arizona Form

290

Request for Penalty Abatement

Please read the instructions carefully before completing this form.

The Arizona Department of Revenue, on written application by the taxpayer, shall abate the penalty if it determines that the conduct, or lack of conduct, that caused the penalty to be imposed was due to reasonable cause and not due to willful neglect.

PART 1

GENERAL INFORMATION

 

 

Taxpayer Name

 

Daytime Phone (with area code)

 

 

 

Spouse’s Name (if joint return was filed)

 

Alternate Phone (with area code)

 

 

 

Present Address - number and street, rural route

 

Apartment/Suite No.

 

 

 

City, Town or Post Office

State

ZIP Code

 

 

 

 

If you want the Arizona Department of Revenue to work with your representative, complete and include Arizona Form 285, General Disclosure/Representation Authorization Form.

PART 2

TAX TYPE

 

 

 

 

TAX TYPE

TAXPAYER ID NUMBER

PERIOD(s) OR YEAR(s)

PENALTY AMOUNT

 

 

 

 

 

 

 

ITIN or SSN

 

 

Individual Income Tax

 

 

$

 

 

License Number

 

 

Transaction Privilege and Use Tax

 

 

$

 

 

EIN

 

 

Corporate Income Tax

 

 

$

 

 

EIN

 

 

Withholding Tax

 

 

$

Other (example “Waste Tire”):

EIN/License Number

 

 

 

 

 

 

$

PART 3 EXPLANATION & DOCUMENTATION

Explain (include additional pages if you need more space):

PART 4 SIGNATURE

I certify that I have the authority, within the meaning of A.R.S. § 42-2003(A), to execute this authorization form on behalf of the above-mentioned corporation(s), limited liability company(ies), trust(s), estate(s), partnership(s), and/or individual(s). I understand that to knowingly prepare or present a document which is fraudulent or false is a Class 5 felony pursuant to A.R.S. § 42-1127(B)(2).

 



 

 

 

TAXPAYER’S SIGNATURE

DATE

 

SIGNATURE

DATE

 

 

 

 



 

 

 

PRINT OR TYPE NAME

 

 

PRINT OR TYPE NAME

 

 

 

 

 



 

 

 

TITLE

 

 

TITLE

 

MAIL TO:

PENALTY REVIEW UNIT, DIVISION 9 ● ARIZONA DEPARTMENT OF REVENUE ● 1600 W MONROE ST ● PHOENIX AZ 85007-2612

ADOR 11237 (5/15)

Arizona Form 290

Request for Penalty Abatement

UsePURPOSEForm 90OFtoFORMrequest an abatement of non-audit penalties.

IMPORTANT: If the penalty being addressed is the result of an audit, DO NOT use Form 290. Contact the Audit Unit at the phone number shown on the assessment.

INSTRUCTIONS

AllPARTrequests1 for abatement of penalties must include the name, address and telephone number of the taxpayer for which the request is being made.

If you want the Arizona Department of Revenue to work with your representative, complete and include Arizona Form 285, General Disclosure/Representation Authorization Form.

CheckPARTthe2 tax type relating to your abatement request. )f your request is from an individual income tax return, use the )T)N number or social security number from the return. )f your request is for a business, use the TPT license number or Employer )dentification Number E)N . )f your request is for a corporation, or withholding account use Employer )dentification Number E)N .

Enter the specific tax period s that you want considered for abatement. Enter the dollar amount for which you are requesting abatement.

ExplainPART 3 in detail your reason s for requesting the abatement. You must include an explanation as to why there is reasonable cause for the returns and/or payments being late. Clear and concise information will allow for a prompt reply. )nclude additional pages if you need more space.

IMPORTANT: Documentation that supports the basis of your request must be included with the request.

Requests without supporting documentation may be Edenied.xamples include:

• Front and back copies of canceled checks;

• )ndividual returns, corporate returns, or other business returns;

• Medical reports

• Death certificate s

• Other pertinent documents that support your request for this abatement.

PART 4

Type of Entity

 

 

 

W

must sign

 

 

)ndividuals,

 

 

The individual/sole proprietor must

Joint Filers

 

 

sign the authorization. )n the case

and Sole

 

 

of a joint return, if both husband

Proprietorships

and wife

or former husband and

 

 

 

wife

want to authorize the same

 

 

 

Appointee, both spouses

or former

 

 

 

spouses

must sign.

 

 

 

 

Corporations

 

 

A principal corporate officer within

 

 

 

the meaning of A.R.S. §

- 00

A

 

 

 

 

or any person designated by a

 

 

 

principal corporate officer or any

 

 

 

person designated in a resolution

 

 

 

by the corporate board of directors

 

 

 

or other similar governing body,

 

 

 

must sign.

 

 

 

 

 

 

Partnerships

 

 

A partner having authority to act in

& Limited

 

 

the name of the partnership must

Partnerships

 

 

sign.

 

 

 

 

 

 

 

 

Trusts

 

 

A trustee must sign.

 

 

 

 

Estates

 

 

An

executor/executrix

or

the

 

 

 

personal

representative

of

the

Limited

 

 

estate must sign.

 

 

 

 

 

 

 

A member having authority to act in

Liability

 

 

the name of the company must sign.

Companies

 

 

 

 

 

 

 

 

 

 

 

 

Governmental

 

 

An officer having authority to act on

Agencies

 

 

behalf of the governmental agency

 

 

FORM 290 TO:

 

 

 

 

 

MAIL OR FAX

 

must sign.

 

 

 

 

 

 

PENALTY REVIEW UNIT, DIVISION 9

 

 

ARIZONA DEPARTMENT OF REVENUE

 

 

1600 W MONROE ST

 

 

 

 

 

 

 

PHOENIX AZ 85007-2612

 

 

 

 

 

Fax No. 602-771-9912

 

 

 

 

 

 

Allow up to six 6 weeks for processing.

 

 

ADDITIONAL INFORMATION

 

 

For additional information, please refer to the

following:

 

 

 

 

 

 

- 06

 

 

 

 

• Arizona Revised Statutes §

 

 

 

 

available at

 

 

 

 

 

.

 

P

blication 700

• Arizona Department of Revenue

 

 

General

 

and Arizona Department of Revenue

 

 

 

 

www.azleg.gov

 

 

 

 

.

 

Tax Ruling 04-2

available at

 

 

 

 

 

 

 

 

www.azdor.gov

 

ADOR 11237 (5/15)

ARIZONA FORM 290

INSTRUCTIONS

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