Prototype- Ohio Dept of Taxation TBOR1 Form

Ohio Dept of Taxation TBOR1 Form

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
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Ohio Dept of Taxation TBOR1 Form

For questions, please contact Morning Sun Financial Services at 1-844-450-5444
Employer Legal Name*

First NameLast Name
Employer Social Security Number*
Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
Signatures

I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
I certify, under penalties of perjury, that I am the taxpayer or that I am a corporate officer, LLC member, general partner, guardian, tax manager, or similar employee authorized to act on tax matters, executor, receiver, administrator or trustee on behalf of the taxpayer and that I have the authority to execute this form on behalf of the taxpayer. If this form is not properly completed, this Declaration of Tax Representative will not be processed.
Employer Legal Name*

First NameLast Name
Employer Email*
example@example.com
Employer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Employer Signature*

Clear
Date of Signature*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Ohio Dept of Taxation TBOR1 Form