IT MIL-SP 
                                                                                                         Rev. 3/17 

P.O. Box 2476 
Columbus, OH 43216-2476 
1-800-282-1780 

Exemption from Withholding – Military Spouse Employee 

Purpose: The Federal Military Spouses Residency Relief Act states that the income of a civilian spouse of a military member 
is not subject to state income tax of the state in which the spouse is present if the military member and spouse have the same 
state of residency, and their state of residency is in another state pursuant to the military member’s military orders. This law 
allows a civilian spouse to be exempt from withholding for Ohio income tax purposes if their state of residency is not Ohio. 

Instructions for Completing This Form: 
1. The employee must complete the information contained in this document and provide the employer with acceptable sup-
porting documentation. That documentation must include a copy of the employee’s spousal military identifi cation card 
issued to the employee by the Department of Defense. 

2. The employer is also required to have a copy of this form on fi le for each employee who is claiming to be a nonresident of Ohio  
because s/he is the spouse of a military member and is in Ohio due to the military orders of the spouse. Do not send a copy of the  
IT MIL-SP to the Ohio Department of Taxation unless requested by the department. 

Declaration of Spouse of Servicemember: 
“I hereby declare, under penalty of perjury, that I am a resident of the state of                        and that I am pres-
ent in Ohio solely due to the military orders of my spouse. I hereby claim exemption from withholding of Ohio income tax on 
my earnings in Ohio. I understand that my state of residency may tax the income I earn in Ohio.” 

Employee’s signature                                             Date (MM/DD/YY) 

Employee – print full name                                       SSN 

Current mailing address, including ZIP 

                           If you have questions, contact us at 1-800-282-1780.