Who can file the Individual Declaration of Exemption?

Marysville residents who meet one of the listed exemptions may file. The form cannot be used by people with city taxable income, including self-employment or rental income.

What documents should I attach?

Attachments depend on the exemption claimed. The form lists examples such as proof of age, retirement documentation, Social Security or IRS records, or a military W-2.

Do I need a notary for the Individual Declaration of Exemption?

No. The form requires the taxpayer’s signature and date and includes a declaration under penalties of perjury. Supporting documents may be required for the exemption claimed.

How do I submit the Individual Declaration of Exemption?

Send the completed form to the City of Marysville Income Tax Division at 209 S. Main St., P.O. Box 385, Marysville, Ohio 43040. Fax and email are also listed on the form.

Marysville, OH · Union County

No notary required

Individual Declaration of Exemption

Marysville residents who qualify for a city income tax exemption file this form to meet the city’s current-year tax return filing requirement.

What this form is

The form lets eligible individuals declare an exemption from Marysville’s city income tax return filing requirement for the current year. It asks for taxpayer and spouse details, the applicable exemption reason, and related dates or income information. Depending on the reason selected, the filer must attach supporting documents; the form cannot be used by people with city taxable income, including self-employment or rental income.

Who needs it

Marysville residents who meet one of the listed exemptions and have no disqualifying city taxable income may file this declaration.

How to submit it

Submit the completed form to the City of Marysville Income Tax Division, 209 S. Main St., P.O. Box 385, Marysville, Ohio 43040. The form also lists fax and email contact information.

About notarization

This form is signed and dated without a notary; it includes a declaration under penalties of perjury and may require supporting documents for the selected exemption.

How to submit this form

1
Download the Form
Download the Individual Declaration of Exemption for Marysville.
2
Complete the Form
Enter taxpayer details, select the applicable exemption, and provide the requested dates or income information.
3
Gather Supporting Documents
Attach the proof required for your exemption, such as proof of age, retirement, income, or military service.
4
Sign and Submit
Sign and date the form, then submit it to the City of Marysville Income Tax Division at the address shown on the form.

Frequently asked questions

Who can file the Individual Declaration of Exemption?: Marysville residents who meet one of the listed exemptions may file. The form cannot be used by people with city taxable income, including self-employment or rental income.
What documents should I attach?: Attachments depend on the exemption claimed. The form lists examples such as proof of age, retirement documentation, Social Security or IRS records, or a military W-2.
Do I need a notary for the Individual Declaration of Exemption?: No. The form requires the taxpayer’s signature and date and includes a declaration under penalties of perjury. Supporting documents may be required for the exemption claimed.
How do I submit the Individual Declaration of Exemption?: Send the completed form to the City of Marysville Income Tax Division at 209 S. Main St., P.O. Box 385, Marysville, Ohio 43040. Fax and email are also listed on the form.

Need something notarized?

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