Penalty & Interest Abatement Form

Penalty & Interest Abatement Form
Virginia Code section 58.1-3916 governs the assessment of penalty and interest. Please read the Code before filling out this form.

For the Treasurer's Office to consider the Penalty and Interest Abatement Form, the submitting taxpayer must be in good standing with the City of Chesapeake.

Legal Basis for Penalty
Please select the legal basis for penalty and interest waiver from Code of Virginia 58.1-3916 from below.

Taxpayer is a member of U.S. Armed Forces, who was deployed outside of the United States, on the due date and payment was made within 90 days after the conclusion of the deployment. Copy of orders for verification is required.Taxpayer had medically determinable physical and/or mental impairment, on the due date, and a guardian or fiduciary was NOT appointed, and payment was made within 30 days of the due date. Copy of medical record for verification may be required.Taxpayer had medically determinable physical and/or mental impairment, on the due date, a guardian or fiduciary WAS appointed, and payment was made within 120 days of the due date. Copy of court appointment is required for verification.Payment was made/postmarked on or before the due date.
Document Upload: Please upload any supporting documentation for the legal basis requesting penalty and interest abatement.

Formats accepted: pdf, doc, docx
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Acknowledgment

The following situations are not eligible for the waiver of penalty and interest.
1. Taxpayer was unaware of local taxes and fees.
2. Taxpayer did not know the deadline or misread the deadline on the tax bill.
3. Taxpayer did not receive a bill.
4. Bill was delivered to the wrong address.
Do you agree to the above eligibility requirements?*

Yes, I agree.

Basis for Request
Bill/Account Number*
Describe the Basis for Your Request:*
State in Detal all Facts and Circumstance of the incident.
State Why You Consider the Treasurer to be Responsible:*

Legal Basis for Penalty