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Checkbox 5: Non-Resident MyAccount walks you through filing
General Instructions You must provide a list of all addresses your form and provides you with a
Proof of exemption must be submitted where you lived for the years included confirmation number when you are
when required (see the Specific in this form. Use the Moves Worksheet done.
Instructions below). in the Instructions and attach to your
Submit Paper Documents
Failure to respond may result in a tax submission. If submitting a paper tax return with this
liability finding based on information Exact move dates are not necessary, form, you must submit copies of the
supplied to us by the Internal Revenue but the addresses should be within a documents required for the type of
Service or may result in a subpoena week or two of your actual move dates. exemption claimed: birth certificate,
being issued, requiring you to appear Provide documentation proving you driver’s license, pages 1 & 2 and
and produce documents for inspection. lived at each address such as copies of Schedule 1 of your Federal Form 1040,
Any penalties and interest owed will utility bills, property tax bills, leases, death certificate, etc. Documents will
continue to accrue until returns are filed deeds, or print-outs of property transfer not be returned. Mail your documents
records from the County Auditor’s to:
and any tax due is paid. website. REGIONAL INCOME TAX AGENCY
Specific Instructions If you lived in another RITA municipality PO BOX 94801
Checkbox 1: No Taxable Income during any of the years covered by this Cleveland, OH 44101-4801
You must provide acceptable proof form, you are still required to file an
such as a copy of page 1 of your federal Individual Tax return for the year(s) in Contact RITA
Form 1040 for any year you claim you question. A current list of RITA Tax forms, instructions, and the
had no taxable income. municipalities can be found at answers to many questions can be
Note that you cannot claim an www.ritaohio.com. Click on the RITA found at www.ritaohio.com.
exemption from filing for no taxable Municipalities link. Phone: (800) 860-7482
income for any year for which you had If you are (were) not a resident of a TDD: (440) 526-5332
a rental loss, pass-through partnership RITA municipality for any or all of the
loss, or self-employment loss. year(s) covered by this form, you must Moves Worksheet
still file a return if you earned income in Use this worksheet to report your move
Checkbox 2: US Armed Forces a RITA municipality and did not have history for the years covered by this
If you would have met the requirements tax withheld from those earnings to that form. Attach a separate sheet if more
of reason 1 except you received one or municipality and/or if you own rental space is needed.
more W2 forms, but those W2 forms
property or conduct business in a RITA
reported only military pay and Move In Date Move Out Date
municipality and reported losses for
allowances for the year, check this
federal tax purposes.
reason for your exemption. Civilian
Street Address
employees of the armed forces are not Checkbox 6: Deceased
eligible for this exemption. Enclose a copy of the death certificate.
City, State, ZIP
Checkbox 3: Age Exempt Checkbox 7: Filing Jointly
This exemption is not available in all Check this reason if you are not
RITA municipalities. Go to exempt and are filing jointly. Complete Move In Date Move Out Date
www.ritaohio.com and click on the RITA your spouse’s information in the
Municipalities link to look up your address section of this form.
municipality to see if this exemption
Street Address
applies to your municipality. How to File
Checkbox 4: Retired Efile Using RITA’s FastFile. City, State, ZIP
You must provide acceptable proof FastFile is easy, fast & secure. FastFile
such as a copy of page 1 of your federal does not require a user name or
Form 1040 for any year you claim you password. You do need to have all your
Move In Date Move Out Date
tax documents in front of you for any
had retirement income only. year you are FastFiling as once you
Note that if you are retired from your start a return it must be finished in a Street Address
main place of employment but have single session.
picked up a job in retirement, this
exemption will not apply to any year in FastFile walks you through filing your City, State, ZIP
return and provides you with a
which you receive a W2. confirmation number when you are
This exemption will also not apply to done. Move In Date Move Out Date
any year in which you own rental
property or report a partnership gain or Efile Using RITA’s MyAccount
loss on your federal return. MyAccount requires you to setup a user Street Address
name and password. You do not need
to complete a return in a single session. City, State, ZIP
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