Who should file the Application for Exemption?

The form is for people who are not subject to Mount Vernon city income tax and qualify under one of the exemptions listed on the application.

Do I need a notary for the Application for Exemption?

No. The application has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.

How do I submit the Application for Exemption?

Return it to the Income Tax Office at 40 Public Square, Mount Vernon, OH 43050, within 3½ months after year end.

Mount Vernon, OH · Knox County

No notary required

Application for Exemption (City Income Tax)

Mount Vernon residents who are not subject to city income tax use this application to request an exemption and report their qualifying circumstances.

What this form is

The application is for people who are not subject to Mount Vernon city income tax and asks them to identify a qualifying exemption. It requests personal and contact information, information about income or means of support, and a declaration with the applicant’s signature and date. The form says to return it to the Income Tax Office within 3½ months after year end.

Who needs it

Anyone who is not subject to Mount Vernon city income tax and qualifies under one of the exemptions listed on the application should complete it.

How to submit it

Return the application to the Income Tax Office, City of Mount Vernon, 40 Public Square, Mount Vernon, OH 43050, within 3½ months after year end.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

1
Download the Application
Download the Application for Exemption (City Income Tax) PDF.
2
Complete the Application
Provide your personal information, identify a qualifying exemption, and complete the income and means-of-support sections that apply.
3
Sign and Date
Declare that the information is true and complete, then sign and date the application.
4
Return It to the City
Return the application to the Income Tax Office within 3½ months after year end.

Frequently asked questions

Who should file the Application for Exemption?: The form is for people who are not subject to Mount Vernon city income tax and qualify under one of the exemptions listed on the application.
Do I need a notary for the Application for Exemption?: No. The application has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.
How do I submit the Application for Exemption?: Return it to the Income Tax Office at 40 Public Square, Mount Vernon, OH 43050, within 3½ months after year end.

Need something notarized?

This Application for Exemption (City Income Tax) doesn’t need a notary — but if you have another Mount Vernon form that does, a commissioned online notary can help.