Bluffton, OH · Allen County

No notary required

Permanent Certificate of No Taxable Income

This certificate lets fully retired or permanently disabled individuals tell the Village of Bluffton Income Tax Department they will have no future taxable income.

What this form is

Fully retired or permanently disabled individuals use this form to certify that they did not, or will not, receive income taxable under the Bluffton Village Income Tax Ordinance. The form asks for taxpayer and, if applicable, spouse information, the tax year, and signatures. The document says to file it with the Village Income Tax Department by April 15; farm, rental, or business income means this form does not apply.

Who needs it

Fully retired or permanently disabled individuals who will have no future taxable income may file this certificate with the Village of Bluffton Income Tax Department.

How to submit it

Remit the completed form to the Village of Bluffton Income Tax Department, P.O. Box 228, Bluffton, OH 45817. The form says it must be filed on or before April 15.

About notarization

This document is signed without a notary; the taxpayer and, if applicable, spouse sign and date the certificate.

How to submit this form

  1. 1

    Download the Form

    Download the Permanent Certificate of No Taxable Income.

  2. 2

    Complete the Certificate

    Enter taxpayer details, the tax year, and whether you are permanently disabled or fully retired.

  3. 3

    Sign and Date

    The taxpayer signs and dates the certificate. A spouse also signs and dates it if applicable.

  4. 4

    Mail the Form

    Send it to the Village of Bluffton Income Tax Department, P.O. Box 228, Bluffton, OH 45817, by April 15.

Frequently asked questions

Who can use the Permanent Certificate of No Taxable Income?
The form is only for individuals who are fully retired or permanently disabled and will not have future taxable income. It says farm, rental, or business income makes a person ineligible.
How do I submit the Permanent Certificate of No Taxable Income?
Send the completed form to the Village of Bluffton Income Tax Department, P.O. Box 228, Bluffton, OH 45817. The form says it must be filed on or before April 15.
Do I need a notary for the Permanent Certificate of No Taxable Income?
No. The form has taxpayer and, if applicable, spouse signature and date fields; it does not require notarization.

Need something notarized?

This Permanent Certificate of No Taxable Income doesn’t need a notary — but if you have another Bluffton form that does, a commissioned online notary can help.