Millersburg, PA · Dauphin County

Occupation Tax Exoneration Application

This application lets eligible Millersburg Area School District residents request exemption from the 2024 occupation tax and submit their income information to the Tax Collector.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The application is for a resident who expects less than $3,000 in earned income during 2024 and wants to request exoneration from the Millersburg Area School District occupation tax. The form says applicants must file by February 28, 2025, and that a 2024 Earned Income Tax return must be filed for the application to be considered. The notice states that all applications must be notarized and returned to the Tax Collector.

Who needs it

A Millersburg Area School District resident who expects less than $3,000 in 2024 earned income and seeks exoneration from the occupation tax may file this application.

Why it needs a notary

The form carries a sworn-and-subscribed jurat, and the applicant must swear to the application and sign before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the Occupation Tax Exoneration Application and review its instructions and filing deadline.

  2. 2

    Fill In Your Information

    Complete the requested applicant, residence, and earned-income information.

  3. 3

    Book an Online Notary

    Arrange a remote notarization with a commissioned online notary, after confirming the Tax Collector accepts it.

  4. 4

    Sign on Video

    Swear to the application and sign during the online notary session.

  5. 5

    Submit to the Tax Collector

    Return the notarized application to the Tax Collector as directed by the form.

Preview the form

The blank PDF straight from Millersburg. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I apply for occupation tax exoneration?
Complete the application with your requested information, swear to its accuracy before a notary, and return it to the Tax Collector. The form states a February 28, 2025 filing deadline.
Do I need to file an Earned Income Tax return?
Yes. The form says your 2024 Earned Income Tax return with Keystone Collections Group must be filed for your exoneration application to be considered.
Can I sign this application with an online notary?
Remote online notarization may be available with a commissioned online notary. Contact the Tax Collector to confirm the application can be submitted with an electronically notarized jurat.
Who should I contact if I am unsure whether the form applies to me?
The form identifies the Tax Collector as the recipient and provides contact information for the Millersburg Area School District Business Office. Confirm with the city, borough or township if unsure.

Ready to notarize your Occupation Tax Exoneration Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.