Who can use the Portsmouth EX-1 exemption form?

Portsmouth residents who are not required to file a city tax return may use it. The form says it cannot be used by people engaged in business, including those with self-employment or rental income.

Do I need a notary for the Portsmouth EX-1 form?

No. The declaration is signed and dated without a notary; the form lists no notarized attachment or sworn step. The signer and spouse sign and date as applicable.

Is the EX-1 form an application for a tax refund?

No. The form states that it is not to be used as an application for a refund.

Portsmouth, OH · Scioto County

No notary required

Income Tax Declaration of Exemption (EX-1)

Portsmouth residents use this form to declare why they are not required to file a city income tax return for the year.

What this form is

The EX-1 Declaration of Exemption lets Portsmouth residents state why they are not required to file a city tax return for the year. It asks for identifying and household information, the reason for exemption, and applicable dates; it excludes people engaged in business, including those with self-employment or rental income. It is not an application for a refund.

Who needs it

Portsmouth residents who are not required to file a city tax return for the year may use this form, except those engaged in business or receiving self-employment or rental income.

How to submit it

Mail the completed form to Portsmouth Income Tax Division, PO Box 1323, Portsmouth, Ohio 45662. The form provides no email or online submission option.

About notarization

This declaration is signed and dated without a notary; it lists no notarized attachment or sworn step, so the signer and spouse sign and date as applicable.

How to submit this form

1
Download The Form
Download the Portsmouth EX-1 Declaration of Exemption PDF.
2
Complete The Form
Provide the requested identifying information, select the applicable reason for exemption, and enter relevant dates and income source details.
3
Sign And Date
Sign and date the declaration; include the spouse's signature and date as applicable.
4
Mail The Form
Mail the completed form to Portsmouth Income Tax Division, PO Box 1323, Portsmouth, Ohio 45662.

Frequently asked questions

Who can use the Portsmouth EX-1 exemption form?: Portsmouth residents who are not required to file a city tax return may use it. The form says it cannot be used by people engaged in business, including those with self-employment or rental income.
Do I need a notary for the Portsmouth EX-1 form?: No. The declaration is signed and dated without a notary; the form lists no notarized attachment or sworn step. The signer and spouse sign and date as applicable.
How do I submit the Portsmouth EX-1 form?: Mail the completed form to Portsmouth Income Tax Division, PO Box 1323, Portsmouth, Ohio 45662. The form does not provide an email or online submission option.
Is the EX-1 form an application for a tax refund?: No. The form states that it is not to be used as an application for a refund.

Need something notarized?

This Income Tax Declaration of Exemption (EX-1) doesn’t need a notary — but if you have another Portsmouth form that does, a commissioned online notary can help.