Warrensville Heights, OH · Cuyahoga County
RITA Income Tax Exemption Form
This declaration lets eligible taxpayers explain why they are not required to file a Regional Income Tax Agency municipal income tax return for a tax year.
What this form is
Use this declaration to state why you believe you are not required to file a Regional Income Tax Agency municipal income tax return for the year shown. It asks for taxpayer and spouse details, the tax year, and the exemption reason; some reasons require supporting documents, such as federal tax return pages, proof of a new address, or a death certificate. Do not use it to request a refund.
Who needs it
A taxpayer who believes an exemption applies may complete this declaration and provide the supporting documents required for the selected reason.
How to submit it
Mail the declaration to Regional Income Tax Agency, P.O. Box 94801, Cleveland, Ohio 44101-4801. Refund requests require a separate completed Form 10A.
About notarization
This declaration is signed and dated without a notary; the form does not require notarization, and the signer supplies supporting documents where applicable.
How to submit this form
- 1
Download The Form
Download the RITA Income Tax Exemption Form.
- 2
Complete The Declaration
Enter taxpayer details and the tax year, then circle the statement that best applies.
- 3
Gather Supporting Documents
Attach the supporting documents specified for your selected exemption reason, if applicable.
- 4
Mail The Declaration
Mail it to Regional Income Tax Agency, P.O. Box 94801, Cleveland, Ohio 44101-4801.
Frequently asked questions
- What is the RITA Income Tax Exemption Form for?
- It lets a taxpayer declare why they believe they are not required to file a Regional Income Tax Agency municipal income tax return for a particular tax year.
- Do I need a notary for the RITA Income Tax Exemption Form?
- No. The declaration is signed and dated without a notary. Include supporting documents when required for the exemption reason you select.
- How do I submit the RITA Income Tax Exemption Form?
- Mail the completed declaration to Regional Income Tax Agency, P.O. Box 94801, Cleveland, Ohio 44101-4801.
- Can I use this form to request a refund?
- No. The form says not to use the declaration for refund requests. Submit a separate completed Form 10A for a refund request.
Need something notarized?
This RITA Income Tax Exemption Form doesn’t need a notary — but if you have another Warrensville Heights form that does, a commissioned online notary can help.