Kettering, OH · Montgomery County

No notary required

Declaration of Tax Representative

Taxpayers use this form to authorize a representative to act on their behalf before the City of Kettering Tax Division.

What this form is

This declaration authorizes a named representative to act for a taxpayer before the City of Kettering Tax Division. It describes the representative’s authority, including access to tax-file documents and the ability to respond to tax matters, and lets the taxpayer list restrictions. The form asks for taxpayer and representative details, authorization, and the authorized signer’s signature, date, printed name, title, and contact information.

Who needs it

A taxpayer who wants an attorney, CPA, bookkeeper, tax practitioner, or other representative to handle tax matters with the Tax Division can use this form.

How to submit it

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; the signer certifies under penalties of perjury and signs and dates the declaration.

How to submit this form

  1. 1

    Download The Form

    Download the Declaration of Tax Representative PDF.

  2. 2

    Complete The Details

    Enter the taxpayer and representative information, describe any restrictions, and complete the authorization.

  3. 3

    Sign And Date

    The authorized signer signs and dates the declaration and provides their printed name, title, and contact information.

  4. 4

    Submit To The City

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

Frequently asked questions

What does the Declaration of Tax Representative authorize?
It authorizes a named representative to act for the taxpayer before the City of Kettering Tax Division, including viewing tax-file documents and responding to tax matters.
What information does the form request?
It requests taxpayer and representative details, the representative type, authorization and any restrictions, plus the authorized signer’s signature, date, printed name, title, and contact information.
Do I need a notary for the Declaration of Tax Representative?
No. This document is signed without a notary; the signer certifies under penalties of perjury and signs and dates the declaration.
How do I submit the Declaration of Tax Representative?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Declaration of Tax Representative doesn’t need a notary — but if you have another Kettering form that does, a commissioned online notary can help.