Form Dte 23a - Application For The Remission Of Real Property And Manufactured Home Late-Payment Penalties (R.c. 5715.39)
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DTE 23A
File this form with the
Rev. 5/11
Case no.
county treasurer.
Application for the Remission of Real Property and
Manufactured Home Late-Payment Penalties (R.C. 5715.39)
Date Received by Treasurer
Taxpayer Instructions
Complete the front of this form and fi le this form with the county treasurer. Attach a copy
of all evidence to the form. Be sure to complete the name and address blank and sign the
form. If penalties have accrued for more than one late payment, a separate application form
Date Received by Auditor
must be fi led for each penalty. File this form with the county treasurer. The address of each
county treasurer can be found at
Please type or print all information clearly.
Due to the elimination of the tangible personal property tax for general business, references to remission of penalties assessed against those taxes have been removed from
this form, but any remaining taxpayers who wish to apply for remission of those penalties may use this form and should amend it to indicate it applies to personal property.
Owner of property
Parcel or I.D.# of property
Real
Manufactured home
First half
Second half
Property tax type:
Tax year
5% penalty
10% penalty
Amount of penalty $
Date taxes were due
Date taxes and interest were paid
Date entered into a payment plan
Please check all the reasons the penalty should be remitted and explain below.
A reason for remission may not be considered unless the appropriate box is checked.
Tax was not paid by due date because of negligence or error of the auditor or treasurer (explain below).
Taxpayer did not receive a tax bill or a correct tax bill and attempted to obtain one on (date)
Tax was not timely paid because of serious injury, death or hospitalization of the taxpayer (within 60 days preceding the due date),
but was paid within 60 days after the due date. Taxpayer must submit proof of the above.
Tax payment was mailed on or before due date (submit evidence of timely mailing). A private meter postmark on the envelope is not
a valid postmark for establishing the payment date.
Taxpayer’s failure to make timely payment of the tax was due to reasonable cause and not willful neglect (explain below).
Taxpayer statement (use additional pages if necessary):
Print name and address below
I declare under penalties of perjury that this report is true, correct
and complete.
Name
Taxpayer signature
Address
Daytime phone number
Date
City
State
ZIP code
E-mail address
Taxpayer’s Right of Review
Within 60 days after the decision of the county auditor or board of revision is mailed, the taxpayer may apply to the tax commissioner
to review the denial of the penalty remission by the auditor or board. The tax commissioner must receive the appeal by the 60th day
following the day the county’s decision is mailed. However, if the appeal is mailed by certifi ed mail the date of the U.S. postmark placed
on your receipt by the postal service will be treated as the date fi led. The taxpayer should apply for review in the form of a letter to
the tax commissioner and include a copy of the denial issued by the auditor or board of revision, the DTE form 23A returned by the
auditor or the board that indicates the decision and copies of attachments fi led with the original form. Send the request for review to
the Ohio Department of Taxation, Tax Equalization Division, P.O. Box 530, Columbus, Ohio 43216-0530.
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