DTE 23A

Application for the Remission of Real Property and Manufactured Home Late-Payment Penalties (R.C. 5715.39)
Taxpayer Instructions: Complete this form and file it with the county treasurer.

Attach a copy of all evidence to the form, complete the name and address blank and sign the form. If penalties have accrued for more than one late payment, a separate application must be filed for each penalty. Please send completed form to the county treasurer of the county in which the property is located. (The county treasurer may insert his or her name and address here or the taxpayer may obtain the address at ohiocountytreasurers.org.)

MAIL APPLICATION TO:

FRANKLIN COUNTY TREASURER
ATTN: PENALTY REMISSION
373 S. HIGH ST., 17TH FLOOR
COLUMBUS, OHIO 43215
(614) 525-3438

Application for the Remission of Real Property and Manufactured Home Late-Payment Penalties (R.C. 5715.39)
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Franklin County Treasurer
Penalty Remission
373 S. High St., 17th Floor
Columbus, OH 43215

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Franklin County Treasurer
Penalty Remission
373 S. High St., 17th Floor
Columbus, OH 43215
Is the applicant an individual or a business?

An IndividualA Business
Owner of property

First NameMiddle NameLast NameSuffix
Owner of property
Is this property a real estate property or manufactured home/mobile home property?

Real EstateManufactured Home
Real Estate Parcel or I.D. # of property
Manufactured Home Parcel or I.D. # of property
Tax Year
Tax Half

First halfSecond half
Amount of penalty
Penalty type

5% penalty10% penalty
Date taxes were due

MonthDayYear
Date
Date taxes and interest were paid

MonthDayYear
Date
Date entered into a payment plan (if applicable)

MonthDayYear
Date
Please check all the reasons the penalty should be remitted and explain below.

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 and attempted to obtain one on (enter date below)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 did not receive a tax bill because the mortgage lender failed to notify the treasurer that the mortgage was satisfied and the bill was not sent to the taxpayer. The penalty waiver applies only to the first tax bill after satisfaction of the mortgage.Taxpayer’s failure to make timely payment of the tax was due to reasonable cause and not willful neglect (explain below).
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Please explain your reason in the field below.
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Taxpayer must submit proof from the hospital and must be within 60 days preceding the due dates.
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Taxpayer must submit evidence of timely mailing.
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Please update your address with the Treasurer's office. You can change or update your mailing address at https://treasurer.franklincountyohio.gov/Forms/Address-Change.
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Please update your address with the Treasurer's office. You can change or update your mailing address at (please use this link).
Date taxpayer attempted to obtain the tax bill

MonthDayYear
Taxpayer statement (use additional page if necessary)
Name

First NameMiddle NameLast NameSuffix
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
I declare under penalties of perjury that this report is true, correct and complete.
Taxpayer Signature

Clear
Daytime Phone Number
Please enter a valid phone number.
Date

MonthDayYear
Date
Email address
example@example.com
Should be Empty:

Application for the Remission of Real Property and Manufactured Home Late-Payment Penalties (R.C. 5715.39)

Application for the Remission of Real Property and Manufactured Home Late-Payment Penalties (R.C. 5715.39)

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