Tipp City, OH · Miami County
Certification Form
Retired or permanently disabled Tipp City residents with no taxable income use this form to certify that they do not expect Tipp City taxable income.
What this form is
Retired or permanently disabled residents who have no taxable income and do not anticipate having any may use this form to certify that they qualify for an exemption from filing the annual Tipp City income tax return. It asks for filer names, addresses, Social Security numbers, telephone numbers, status, the date that status began, and signatures, including fields for a joint filer.
Who needs it
Retired or permanently disabled residents with no taxable income who do not anticipate future Tipp City taxable income may complete this certification.
How to submit it
Return the completed form to the Tipp City Tax Department at 260 S. Garber Dr., Tipp City, Ohio 45371-3116. The form lists this mailing address for returning the certification.
About notarization
This certification is signed without a notary; the form asks each filer to provide a signature and current status, with no notarized attachment listed.
How to submit this form
- 1
Download The Form
Download the Certification Form.
- 2
Complete The Certification
Provide the requested filer information and indicate whether each filer is retired or permanently disabled.
- 3
Sign The Form
Each filer should sign the certification.
- 4
Return It To The City
Send the completed form to the Tipp City Tax Department at the address shown on the form.
Frequently asked questions
- Who may qualify to use the Certification Form?
- Retired or permanently disabled residents who have no taxable income and do not anticipate any Tipp City taxable income may qualify for an exemption from filing the annual city income tax return.
- What information does the form ask for?
- It asks for each filer's name, address, Social Security number, telephone number, retirement or disability status, the date that status began, and signature.
- Do I need a notary for the Certification Form?
- No. The form asks each filer to sign without a notary and lists no notarized attachment.
- How do I submit the Certification Form?
- Return the completed form to the Tipp City Tax Department at 260 S. Garber Dr., Tipp City, Ohio 45371-3116.