Homepage Blank 290 Arizona Form
Outline

The Arizona Form 290, known as the Request for Penalty Abatement, serves as a vital tool for taxpayers seeking relief from certain penalties imposed by the Arizona Department of Revenue. This form is specifically designed for non-audit penalties, allowing individuals and businesses to request an abatement when they believe their penalty was incurred due to reasonable cause rather than willful neglect. The form is divided into several parts, beginning with general information about the taxpayer, including their name, contact details, and address. It also requires taxpayers to specify the type of tax involved, such as individual income tax or corporate income tax, along with the relevant taxpayer identification numbers and the amount of penalty being contested. In the explanation section, taxpayers must provide a detailed account of the circumstances leading to the penalty, supported by appropriate documentation. This could include canceled checks, tax returns, or medical records, among other pertinent documents. Finally, the form requires signatures from authorized individuals, ensuring that all submissions are legitimate and accountable. Properly completing and submitting Form 290 can facilitate a smoother process in addressing penalties, offering taxpayers a chance to resolve their issues with the Arizona Department of Revenue efficiently.

Sample - 290 Arizona Form

ADOR 11237 (05/23)
Instructions
Arizona Form 290
Request for Penalty Abatement
THE PURPOSE OF THIS FORM
Use Form 290 to request an abatement of non-audit
penalties.
The account for which the abatement request is being
submitted must be in compliance. Compliance means
there are no delinquent tax returns and all non-audit tax
liabilities are paid when making the request. Provide clear
and concise information to allow for a prompt reply by the
department.
The request will not be considered for processing if the
form is incomplete or if the account is not in compliance.
The abatement request form and documentation will be
returned for correction. The form and documentation will
then need to be resubmitted for consideration.
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. The
Penalty Review Unit does not process audit assessed
penalties.
INFORMATION
PART 1 - GENERAL INFORMATION
All requests for abatement of penalties must include the
name, address, email 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 or third party, complete
and include Arizona Form 285, General Disclosure/
Representation Authorization Form. Ensure boxes 4b
and 4c or box 5 are indicated.
PART 2 - SPECIFIC DETAILS FOR ABATEMENT
CONSIDERATION
Provide specific details regarding the account and periods
to be considered for abatement.
TAX TYPE
If your request is for an individual income tax return,
use the Individual Taxpayer Identification Number
(ITIN) number or social security number from the
return.
If your request is for a business account, use the
Transaction Privilege Tax (TPT) or Marijuana Excise
Tax (MET) license number.
If your request is for a corporate or withholding
account, use an Employer Identification Number (EIN).
PERIOD(S) OR YEAR(S)
Enter the specific tax period(s) in date format, based on
the filing frequency, that you want considered for the
abatement.
For example:
Annual filers: 2015-2016
Quarterly filers: 01/2017-03/2017 or Q2 2018
Monthly filers: 07/2017-02/2019
PENALTY AMOUNT
Enter the dollar amount for which you are requesting
penalty abatement. There is no statutory provision that
permits abatement of interest based on reasonable
cause.
PART 3 - EXPLANATION & DOCUMENTATION
Explain in detail your reason(s) for requesting the
abatement. You must provide specific details or reasons
that directly contributed to the failure to file or pay timely
for the period(s) you are requesting penalty abatement.
Include in the 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. Include
additional pages if you need more space.
IMPORTANT: You must include Documentation that
supports the basis of your request. Requests without
supporting documentation may be denied.
Examples include:
Proof of timely payment; including front
and back of canceled checks.
Medical reports and/or Death Certificate(s).
Other pertinent documents that support
your request for this abatement.
Proof an extension has been filed.
Situations Where Reasonable Cause May Exist:
Below are some situations where reasonable cause may
exist. There may be other situations where reasonable
cause may exist. Accordingly, it’s important for you
to provide specific details or reasons that directly
contributed to the failure to file or pay timely for the
periods you are requesting.
Circumstances beyond the control of the taxpayer while
using reasonable and prudent business practices.
1. Mathematical errors
A mathematical error on a timely filed tax return.
2. Unexpected illness or unavoidable absence
A. Individual returns
a. Delay caused by serious illness of the taxpayer, or
member of the taxpayer’s immediate family.
b. Delay caused by unavoidable absence of the
taxpayer. Vacation time is not acceptable as an
unavoidable absence.
ADOR 11237 (05/23)
Instructions
Arizona Form 290
Request for Penalty Abatement
B. Entity returns
In the case of corporate, estate, trust or other business
returns, delay caused by unexpected serious illness of
the individual with sole authority to execute the return
or member of such individual’s immediate family.
Delay caused by unavoidable absence of the individual
with sole authority to execute return.
If unexpected illness is the basis of the request for penalty
abatement, the Department shall require proof of the date
of illness. This proof includes, but is not limited to, doctor
statements.
3. Death
A. In the case of individual returns, delay caused by the
death of a taxpayer or member of the taxpayer’s immediate
family.
B. In the case of corporate, estate, trust or other business
returns, the delay must have been caused by the death of an
individual with the sole authority to execute the return, or a
member of such individual’s immediate family.
For both individual and business returns, a reasonable time
frame should apply for filing the return and payment of tax.
A copy of the death certificate must be provided.
4. Absence of records
The taxpayer is unable to obtain records necessary to
determine the amount of tax due for reasons beyond the
taxpayer’s control. An example would be a fire which
destroys the taxpayer’s records.
Situations Where Reasonable Cause May NOT Exist:
1. Ignorance of the law or lack of awareness of filing and
paying requirements.
2. Delegation of duties.
3. Financial difficulties have no effect on the taxpayer’s
ability to file returns in a timely fashion.
Penalties and/or fees not considered for Abatement:
1. Interest
2. TPT licensing fees
3. Audit assessed penalties
4. Any disallowed accounting credit(s) for TPT
For additional information regarding reasonable cause,
please refer to the following:
Arizona Revised Statutes § 42-2062 available at
www.azleg.gov.
Arizona Department of Revenue Publication 700 and
Arizona Department of Revenue General Tax Ruling
(GTR) 04-2 available at www.azdor.gov.
PART 4 - SIGNATURE OF TAXPAYER OR AUTHORIZED
REPRESENTATIVE
The form should be signed by one of those listed
below or otherwise authorized by A.R.S. § 42-2033(A).
A responsible party that has the authority to act on
behalf of the taxpayer should check the box in Part 4.
If you want the Arizona Department of Revenue to work with
your representative or third party, complete and include
Arizona Form 285, General Disclosure/Representation
Authorization Form. Ensure boxes 4b and 4c or box 5 are
indicated.
Handwritten signature, date, print the signer’s name and
title. An electronic signature with a digital certificate is
accepted.
Type of Entity Who must sign
Individuals, Joint
Filers and Sole
Proprietorships
The individual/joint filers/sole proprietor
must sign.
Corporations A principal corporate officer within the
meaning of A.R.S. § 42-2003 (A)(2) 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 &
Limited Partnerships
A partner having authority to act in the name
of the partnership must sign.
Trusts/Estates A trustee, executor/executrix or the personal
representative of the estate must sign. See
Form 210, Notice of Assumption of Duties in a
Fiduciary Capacity.
Limited Liability
Companies
A member having authority to act in the name
of the company must sign.
Governmental
Agencies
An officer having authority to act on behalf of
the governmental agency must sign.
MAIL, FAX OR EMAIL FORM 290 TO:
ARIZONA DEPARTMENT OF REVENUE
PENALTY REVIEW UNIT
1600 W MONROE ST
PHOENIX AZ 85007-2612
Fax No. (602) 716-6787
Email: PenaltyReview@azdor.gov
Allow up to six (6) weeks for processing.
Print Form
ADOR 11237 (05/23)
PART 1 GENERAL INFORMATION (REQUIRED)
Taxpayer Name Daytime Phone (with area code)
Spouse’s Name (if joint return was filed) Email address:
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. Ensure boxes 4b and 4c or box 5 are marked.
PART 2 SPECIFIC DETAILS FOR ABATEMENT CONSIDERATION (REQUIRED)
Indicate the TAX TYPE for the account
requesting abatement
Provide the associated
TAXPAYER ID number for
the account requesting
abatement
Provide the SPECIFIC PERIOD(S)
for the account requesting abatement
Provide the total PENALTY
AMOUNT for the account
requesting abatement.
(Do not include interest)
Individual Income Tax
ITIN or
SSN
$
Transaction Privilege & Use Tax
License Number
$
Corporate Income Tax
EIN
$
Withholding Tax
EIN
$
Other (Trust, Tobacco, Marijuana Excise Tax):
EIN/License Number
$
PART 3 EXPLANATION & DOCUMENTATION (REQUIRED)
Provide specific details or reasons that directly contributed to the failure to file or pay timely for the periods you are requesting penalty abatement.
Include additional pages if more space is needed and documentation to support the claim of reasonable cause.
_______________________________________________________________________________________________________________________________
PART 4 SIGNATURE OF TAXPAYER OR AUTHORIZED REPRESENTATIVE (Did you print and sign the form?)
Who can sign this form? The taxpayer (individual, principal corporate officer, LLC Member/Manager, Trustee, Partner) or other authorized by
A.R.S. § 42-2003(A). Other authorized representative may sign this form if they include a properly executed Arizona Form 285 (General Disclosure/
Representation Authorization Form).
Check here if you are attaching a completed Arizona Form 285 with boxes 4b and 4c or box 5 indicated.
I certify that I have the authority, within the meaning of A.R.S. § 24-2003(A) to execute this abatement request on behalf of the above-mentioned
taxpayer. I understand that to knowingly prepare or present a document which is fraudulent or false is 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
SEND THE COMPLETED FORM TO: ARIZONA DEPARTMENT OF REVENUE PENALTY REVIEW UNIT
1600 W MONROE ST
PHOENIX AZ 85007-2612
FAX to: (602) 716-6787 or EMAIL to: PenaltyReview@azdor.gov
Arizona Form
290
Request for Penalty Abatement
PLEASE READ THE INSTRUCTIONS CAREFULLY. Ensure all applicable sections of the form are completed, all returns are filed, and taxes paid prior
to submitting. The request will not be considered for processing if incomplete or the account is not in compliance. The abatement request form and
documentation will be returned for correction and must be resubmitted for consideration.
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.
Print Form

Form Information

Fact Name Description
Purpose The Arizona Form 290 is used to request an abatement of non-audit penalties imposed by the Arizona Department of Revenue.
Governing Law The form is governed by Arizona Revised Statutes § 42-2003(A) and § 42-1127(B)(2).
Eligibility Taxpayers can request abatement if the penalty was due to reasonable cause and not willful neglect.
Supporting Documents Requests must include documentation that supports the reason for the abatement, such as canceled checks or medical reports.
Signature Requirement The form must be signed by the taxpayer or authorized representative. Joint filers both need to sign if applicable.
Submission Details Completed forms should be mailed or faxed to the Penalty Review Unit at the Arizona Department of Revenue.

Detailed Guide for Filling Out 290 Arizona

Filling out Arizona Form 290 is an important step for taxpayers seeking to request an abatement of penalties. The process involves providing specific information about your tax situation and the reasons for your request. Following the steps below will help ensure that you complete the form correctly and submit it for consideration.

  1. Gather your information: Collect all necessary details, including your name, contact information, and the tax type for which you are requesting an abatement.
  2. Complete Part 1: Fill in your name, daytime phone number, spouse’s name (if applicable), alternate phone number, and your present address. Ensure that all information is accurate.
  3. Complete Part 2: Indicate the tax type by checking the appropriate box. Enter your taxpayer identification number (ITIN or SSN), or the license number or EIN as applicable. Specify the period(s) or year(s) related to the penalty and the penalty amount you are requesting to be abated.
  4. Provide an explanation: In Part 3, clearly explain the reasons for your request. Include any circumstances that contributed to the penalty, emphasizing reasonable cause. If necessary, attach additional pages for a more detailed explanation.
  5. Attach supporting documentation: Include any relevant documents that support your request, such as canceled checks, tax returns, medical reports, or death certificates.
  6. Sign the form: In Part 4, ensure that you sign and date the form. If applicable, have your spouse sign as well. If you are representing a corporation, partnership, trust, or estate, ensure that the appropriate authority signs the form.
  7. Mail the form: Send the completed form and any attachments to the address provided: Penalty Review Unit, Division 9, Arizona Department of Revenue, 1600 W Monroe St, Phoenix, AZ 85007-2612. Alternatively, you may fax the form to 602-771-9912.

After submitting your request, allow up to six weeks for processing. Be sure to keep a copy of the completed form and any documentation for your records. This will help you track your request and provide a reference if needed in the future.

Obtain Answers on 290 Arizona

  1. What is Arizona Form 290?

    Arizona Form 290 is a request for penalty abatement. Taxpayers use this form to ask the Arizona Department of Revenue to remove penalties imposed on their tax accounts. The request must demonstrate that the penalty was due to reasonable cause and not willful neglect.

  2. Who can use Form 290?

    Any taxpayer who has incurred a penalty for non-audit reasons can use Form 290. This includes individuals, corporations, partnerships, and other entities. If the penalty arises from an audit, you must contact the Audit Unit directly instead of using this form.

  3. What information is required on the form?

    You must provide the following details:

    • Your name and contact information.
    • Tax type and taxpayer ID number.
    • Specific tax periods or years related to the penalty.
    • The amount of the penalty you wish to have abated.
    • A detailed explanation of the reasons for your request, including supporting documentation.

  4. What kind of documentation should I include?

    Supporting documents are crucial for your request to be considered. Examples include:

    • Copies of canceled checks.
    • Tax returns (individual or corporate).
    • Medical reports.
    • Death certificates.
    • Any other relevant documents that support your case.

  5. How long does it take to process Form 290?

    Processing can take up to six weeks. Ensure you submit all required information and documentation to avoid delays.

  6. What happens if my request is denied?

    If your request for abatement is denied, you will receive a notification from the Arizona Department of Revenue. You may then consider appealing the decision or addressing the penalty through other means.

  7. Do I need to sign the form?

    Yes, the form must be signed by the taxpayer or an authorized representative. If it's a joint return, both spouses must sign. Corporations, partnerships, and other entities have specific signing requirements based on their structure.

  8. Where do I send Form 290?

    Mail or fax your completed Form 290 to:

    PENALTY REVIEW UNIT, DIVISION 9
    ARIZONA DEPARTMENT OF REVENUE
    1600 W MONROE ST
    PHOENIX AZ 85007-2612
    Fax No. 602-771-9912

  9. Can I have a representative handle my request?

    Yes, if you want a representative to communicate with the Arizona Department of Revenue on your behalf, you must complete and include Arizona Form 285, the General Disclosure/Representation Authorization Form.

Common mistakes

Filling out the Arizona Form 290 for penalty abatement can be a straightforward process, but many people make common mistakes that can delay their request or lead to outright denial. Understanding these pitfalls can help ensure your application is processed smoothly.

One frequent error is failing to provide complete contact information. The form requires not only the taxpayer's name but also their daytime phone number and address. Incomplete information can hinder the Arizona Department of Revenue's ability to reach you for clarifications or updates.

Another mistake often seen is not selecting the correct tax type. The form includes various tax types, such as Individual Income Tax and Corporate Income Tax. If you choose the wrong category, it can lead to confusion and delay in processing your request.

Many applicants also forget to include specific periods or years for which they are requesting abatement. Clearly indicating the relevant tax period is essential for the review process. Without this information, your request may be deemed incomplete.

Providing insufficient explanations is another common error. In Part 3 of the form, you must explain the reasonable cause for your penalty. Vague or unclear reasons can result in a denial. It’s important to be thorough and precise in your explanation.

Documentation is crucial. Failing to include supporting documents can lead to immediate rejection of your request. Examples of acceptable documentation include canceled checks, medical reports, or any other pertinent documents that substantiate your claim for abatement.

Additionally, some individuals neglect to sign the form. A signature is necessary to validate your request. If the form is not signed, it will not be processed, regardless of how complete the other sections may be.

Another mistake involves not including Arizona Form 285 when applicable. If you want the Department of Revenue to communicate with a representative on your behalf, this form must accompany your request. Omitting it can complicate matters significantly.

Lastly, applicants often overlook the mailing instructions. It is essential to send the completed form to the correct address and to allow adequate time for processing. Sending it to the wrong location can cause unnecessary delays.

By being mindful of these common mistakes, you can enhance your chances of a successful penalty abatement request. Taking the time to carefully review your application before submission can save you from potential headaches in the future.

Documents used along the form

The Arizona Form 290 is utilized for requesting the abatement of penalties imposed by the Arizona Department of Revenue. When submitting this form, several other documents may be required or helpful in supporting the request. Below is a list of other forms and documents that are often used in conjunction with Form 290.

  • Arizona Form 285: This form is the General Disclosure/Representation Authorization Form. It allows taxpayers to authorize a representative to act on their behalf when dealing with the Arizona Department of Revenue.
  • Arizona Form 140: This is the Individual Income Tax Return form. If the penalty is related to individual income tax, this form provides essential information about the taxpayer's income and tax obligations.
  • Arizona Form 120: This form is used for Corporate Income Tax Returns. It is necessary for corporations to file this form to report income and calculate taxes owed, which may be relevant to penalty abatement requests.
  • Medical Documentation: Medical records can support claims of reasonable cause for late payments or filings. These documents may include hospital records or letters from healthcare providers.
  • Death Certificates: If the penalty is due to the death of the taxpayer or a family member, a death certificate may be required to substantiate the request for abatement.
  • Canceled Checks: Copies of front and back canceled checks can serve as proof of payments made or attempted. This documentation helps demonstrate the taxpayer's effort to comply with tax obligations.
  • Additional Tax Returns: Providing copies of past tax returns can help illustrate the taxpayer's history of compliance and support claims of reasonable cause.
  • IRS Correspondence: Any letters or notices received from the IRS regarding penalties or tax issues may also be relevant. This documentation can help clarify the taxpayer's situation and support the abatement request.

In summary, when submitting Form 290 for penalty abatement, it is crucial to include any relevant supporting documents. These documents not only substantiate the claims made in the request but also enhance the chances of a favorable outcome from the Arizona Department of Revenue.

Similar forms

The Arizona Form 290, used for requesting penalty abatement, shares similarities with several other documents related to tax and financial matters. Below is a list of ten documents that are comparable to Form 290, along with an explanation of how they are similar.

  • IRS Form 843: This form is used to request an abatement of certain penalties or interest with the IRS. Like Form 290, it requires a clear explanation of the reasonable cause for the request.
  • IRS Form 8821: This document authorizes the IRS to disclose tax information to a third party. Similar to Form 290, it includes sections for taxpayer identification and representative information.
  • Arizona Form 285: This form is the General Disclosure/Representation Authorization. It allows taxpayers to authorize a representative to act on their behalf, much like the representative section in Form 290.
  • IRS Form 911: This form is used to request assistance from the IRS when facing financial difficulties. It also requires an explanation of the circumstances, paralleling the documentation needed in Form 290.
  • Arizona Form 140: This is the Individual Income Tax Return form. Both forms require taxpayer identification and details about the tax period, focusing on accurate reporting of tax obligations.
  • IRS Form 1040X: This is the amended U.S. Individual Income Tax Return. Like Form 290, it requires a detailed explanation for changes made, emphasizing clarity in communication with tax authorities.
  • Arizona Form 120: This is the Corporate Income Tax Return form. Both forms involve tax type selection and require accurate identification of the taxpayer.
  • IRS Form 706: This is the United States Estate (and Generation-Skipping Transfer) Tax Return. It shares similarities in that it requires detailed information and justifications regarding tax liabilities.
  • Arizona Form 5000: This form is for the Transaction Privilege Tax. Both forms necessitate the specification of tax types and the amounts due, highlighting the importance of accurate tax reporting.
  • IRS Form 4506-T: This is the Request for Transcript of Tax Return. It allows taxpayers to request their tax information, similar to how Form 290 requests specific tax period details for penalty abatement.

Each of these documents serves a distinct purpose but shares common elements with Arizona Form 290, such as the need for clear explanations, taxpayer identification, and appropriate documentation to support requests.

Dos and Don'ts

When filling out the Arizona Form 290 for penalty abatement, it’s important to follow specific guidelines to ensure your application is processed smoothly. Here are ten things to consider:

  • Do read the instructions carefully. Understanding the requirements is crucial for a successful application.
  • Do provide accurate contact information. Ensure your name, address, and phone numbers are correct.
  • Do include supporting documentation. Attach any relevant documents that justify your request.
  • Do explain your reasons clearly. A detailed explanation of your circumstances can help your case.
  • Do check the correct tax type. Make sure to indicate the appropriate tax type related to your request.
  • Don't submit without signatures. Ensure all required signatures are included before sending.
  • Don't forget to use the correct taxpayer ID. Use the right identification number for your situation.
  • Don't leave out any required fields. Incomplete forms may delay processing or result in denial.
  • Don't submit if your penalty is from an audit. Use the correct form for audit-related penalties.
  • Don't wait until the last minute. Allow ample time for processing, which can take up to six weeks.

By following these guidelines, you can improve your chances of a successful abatement request. Take your time and ensure everything is filled out correctly.

Misconceptions

Understanding the Arizona Form 290 can be challenging, especially with the various misconceptions surrounding it. Here are seven common myths debunked:

  • Myth 1: Form 290 can be used for any type of penalty.
  • This is incorrect. Form 290 is specifically for requesting abatement of non-audit penalties. If your penalty arises from an audit, you must contact the Audit Unit instead.

  • Myth 2: You do not need to provide documentation.
  • In reality, supporting documentation is crucial. Without it, your request may be denied. Acceptable documents include canceled checks, tax returns, and medical reports.

  • Myth 3: You can submit Form 290 without an explanation.
  • An explanation detailing the reasonable cause for the late returns or payments is mandatory. Clear and concise information will facilitate a quicker response.

  • Myth 4: Only individuals can file Form 290.
  • This form can be used by various entities, including corporations, partnerships, and trusts. Each type of entity has specific signing requirements that must be followed.

  • Myth 5: You can fax Form 290 to any department.
  • Form 290 must be sent specifically to the Penalty Review Unit at the Arizona Department of Revenue. Ensure you have the correct fax number for submission.

  • Myth 6: The processing time for Form 290 is immediate.
  • In fact, allow up to six weeks for processing. Patience is essential as the review process can take time.

  • Myth 7: Once submitted, you cannot follow up on your request.
  • While it’s important to allow time for processing, you can follow up if you have concerns or need updates on your request.

By clearing up these misconceptions, taxpayers can navigate the abatement process more effectively and avoid unnecessary complications.

Key takeaways

Key Takeaways for Filling Out Arizona Form 290

  • Arizona Form 290 is used to request an abatement of non-audit penalties from the Arizona Department of Revenue.
  • Read the instructions carefully before completing the form to ensure accuracy and compliance.
  • Include the taxpayer's name, address, and phone number in Part 1 of the form.
  • Check the appropriate tax type in Part 2 and provide the corresponding taxpayer ID number, such as ITIN or SSN.
  • Clearly explain your reasons for requesting the abatement in Part 3, including any supporting documentation.
  • Documentation may include canceled checks, tax returns, medical reports, or death certificates that support your request.
  • In Part 4, ensure the correct individual or entity signs the form, depending on the type of taxpayer (individual, corporation, partnership, etc.).
  • Mail the completed form to the Penalty Review Unit at the Arizona Department of Revenue and allow up to six weeks for processing.