Pandora, OH · Putnam County
Permanent Certification of No Taxable Income
Pandora residents who are retired or permanently disabled and expect no future taxable income use this form to request relief from annual income tax filing requirements.
What this form is
This form certifies that the taxpayer, and spouse if applicable, will not receive compensation considered taxable under the Pandora Village Income Tax Ordinance. It applies only to people who are retired or permanently disabled and expect no future taxable income—not to those exempt for specific tax years. The Income Tax Department must receive and approve the form before the account is inactivated and annual filing requirements are relieved.
Who needs it
Retired or permanently disabled Pandora taxpayers who expect no future taxable income may file this certification for themselves and, if applicable, their spouse.
How to submit it
Submit the Tax Department copy to the Pandora Income Tax Department, P.O. Box 193, Pandora, OH 45877-0193. The form says approval is required to be relieved of annual filing requirements.
About notarization
This document is signed and dated without a notary; the taxpayer and, if applicable, spouse sign and date it.
How to submit this form
- 1
Download the Form
Download the Permanent Certification of No Taxable Income and review its eligibility conditions.
- 2
Complete the Certification
Enter the tax year and requested taxpayer details, and complete the certification for yourself and spouse, if applicable.
- 3
Sign and Date
The taxpayer and, if applicable, spouse sign and date the form. No attachment is identified on the form.
- 4
Submit to the Tax Department
Send the Tax Department copy to Pandora Income Tax Department, P.O. Box 193, Pandora, OH 45877-0193 for approval.
Frequently asked questions
- Who can use Pandora’s permanent no-taxable-income certification?
- The form says it applies only if you are retired or permanently disabled and will have no future taxable income. It is not for an exemption limited to particular tax years.
- How do I submit the permanent certification?
- Submit the Tax Department copy to the Pandora Income Tax Department, P.O. Box 193, Pandora, OH 45877-0193. The department must approve it.
- Do I need a notary for the permanent certification?
- No. The taxpayer and, if applicable, spouse sign and date the form; it does not include a notary block.
- What happens if I begin receiving taxable income later?
- The form says you are responsible for notifying the Pandora Income Tax Department if your circumstances change and you begin receiving taxable income. Your account may then be reactivated.