
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.