Pandora, OH · Putnam County
Individual Exemption Certificate
Pandora residents use this certificate to request an exemption from filing a Village income tax return for a specified tax year.
What this form is
This certificate lets a Pandora resident state that they are not required to file a Village income tax return for a specified tax year and select a listed reason. It asks for taxpayer and, if applicable, spouse information, contact details, the tax year, and signatures. The form says the Tax Dept. copy must be filed by April 15; it provides an exemption only for the tax year specified.
Who needs it
A Pandora resident who believes they are not required to file a Village income tax return for the tax year shown may use this certificate.
How to submit it
Submit the Tax Dept. copy to the Pandora Income Tax Department, P.O. Box 193, Pandora, OH 45877-0193, on or before April 15.
About notarization
This document is signed and dated without a notary; it lists no attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Certificate
Download the Individual Exemption Certificate for the tax year you are addressing.
- 2
Complete the Form
Enter the requested taxpayer and tax-year information, select the applicable reason, and sign and date the certificate.
- 3
Gather Attachments
The form does not identify any required attachments.
- 4
Submit to the City
Send the Tax Dept. copy to the Pandora Income Tax Department by April 15.
Frequently asked questions
- What does the Individual Exemption Certificate do?
- It lets a Pandora resident state that they are not required to file a Village income tax return for the tax year specified and identify a listed reason.
- How do I submit the Individual Exemption Certificate?
- Submit the Tax Dept. copy to the Pandora Income Tax Department, P.O. Box 193, Pandora, OH 45877-0193, on or before April 15.
- Do I need a notary for the Individual Exemption Certificate?
- No. The document is signed and dated without a notary, and it lists no attachment or related step that must be notarized or sworn.
- Does this certificate cover future tax years?
- No. The form says it provides an exemption only for the specified tax year. It identifies Form E-3 as the form to fill out, if applicable, for relief from future filing requirements.