Hardship Payment Form

Hardship Payment Form

PO Box 3397, Durham North Carolina 27702 (919)560-0300
Please provide the following information to the Durham County Tax Office for a request for a payment arrangement due to hardship circumstances. If approved, an arrangement will be structured to insure proper payment of delinquent taxes and to avoid enforced collections procedures.

Initial monthly payment may be required for approval.
Taxpayer Information
Name (Include Jr. or Sr. if applicable)*

First NameLast Name
Home Phone*

Area CodePhone Number
Cell phone*

Area CodePhone Number
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position / Title / Type of Business
Spouse Information
Spouse's Name

First NameLast Name
Spouse's Home Phone

Area CodePhone Number
Spouse's Cell Phone

Area CodePhone Number
Spouse's Employer
Spouse's Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Spouse's Position / Title / Type of Business
Account number(s) or property address(es) you are requesting to be included
Reason for payment arrangement request after taxes became delinquent*
Taxpayer Signature
Taxpayer Signature
Date

MonthDayYear
Date
Spouse Signature
Date

MonthDayYear
Date
If payment arrangement is not completed by the final payment date, the taxpayer will be subject to all enforced collection procedures. Interest will continue to accrue until taxes are paid in full. If the current year taxes are not paid in full, the taxpayer's name will be listed in the local newspapers on the date all delinquent real estate tax liens are advertised
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