Harris County Appraisal District
Business & Industrial Property Division
P.O. Box 922007
Houston TX 77292-2007
FORM 22.30 (08/10)
Penalty Waiver Request
Account Number: Tax Year:
Property Location:
Description:
Business Name and Address
Instructions: This form is used to request a waiver of the rendition penalty or
waiver of the additional information request penalty. Although the use of this form
is not required, it will result in speedier consideration of your request. The request
must be in writing, accompanied by supporting documentation, stating the grounds
on which penalties should be waived and must be sent to the chief appraiser not
later than the 30th day after the date you received notification of the imposition of
the penalty.
*NEWPP145*
Step 1: Business/Ownership Information in HCAD Records
Step 2: Waiver Type (Mark the Appropriate Box)
Step 3: Reason for Waiver
Additional Information Request PenaltyRendition Penalty
I certify the information in this document and any information attached is true and correct to the best of my knowledge and belief.
Title
Printed Name Telephone Number
DateSignature
Other:
We had a recent mailing address change and the
packet was not received. (Attach rendition)
We are a new business and were unaware of the
rendition requirements. (Attach rendition)
A valid and timely rendition was filed. (Attach a
copy of the submitted rendition and, if
applicable, a copy of the certified mail receipt)
We relied on a third party who failed to comply with
the rendition requirements. (Attach rendition)
Below is a list of common reasons for a waiver request. You may check one of the reasons below, or provide another
reason by checking the box labeled "Other". You may attach additional pages as necessary. Please be advised that
checking one of the boxes below provides no indication of waiver approval.
