Gallipolis, OH · Gallia County

No notary required

Tax Department Confidentiality Document

Gallipolis taxpayers use this document to authorize the City Tax Department to discuss their tax information with a named preparer or other designated person.

What this form is

This document gives the Gallipolis City Tax Department permission to disclose a taxpayer’s income and tax information to a named tax preparer or other designated person. The taxpayer names the person and provides a federal identification number, then signs and dates the document; a witness also signs and dates it. To limit the information shared, include a written request stating the limitations.

Who needs it

A Gallipolis taxpayer who wants the City Tax Department to discuss their tax information with a tax preparer or other designated person should complete this document.

How to submit it

The form names the Gallipolis City Tax Department but does not give submission details. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; include a written request stating any limits on information shared, if applicable, and have the taxpayer and witness sign and date it.

How to submit this form

  1. 1

    Download The Document

    Download the Gallipolis City Tax Department Confidentiality Document.

  2. 2

    Complete The Document

    Type or print the designated person’s name, taxpayer’s name, and federal identification number.

  3. 3

    Gather Any Written Request

    If you want to limit the information shared, include a written request stating the limitations.

  4. 4

    Sign And Date

    The taxpayer and witness sign and date the document.

  5. 5

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Tax Department Confidentiality Document?
No. The document has signature and date lines for the taxpayer and a witness, but no notary block. Include a written request stating any limits on information shared, if applicable.
What does the Gallipolis confidentiality document authorize?
It gives the Gallipolis City Tax Department permission to discuss the taxpayer’s income and tax information with the named tax preparer or other designated person.
How do I submit the Gallipolis confidentiality document?
The form names the Gallipolis City Tax Department but does not provide submission details. Submit it to the department named on the form and check the city website for current contact details.

Need something notarized?

This Tax Department Confidentiality Document doesn’t need a notary — but if you have another Gallipolis form that does, a commissioned online notary can help.