E-Gov Services City of Silverton

Landlord Reporting Form

This form is provided in order for landlords to report the names of their tenants to the Tax Department for tax collection purposes. Failure to report tenant information may result in a fine not to exceed $500.00 or imprisonment of not more than 60 days (or both) for each offense. Contact the Tax Department at (513) 936-6244 with any questions.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone:	() –
Fax:	() –
* Address:
* City:
* State:
* ZIP:

* Property address?

* Name of Tenant; Date of Birth; Social Security Number; Dates resident has lived in Silverton; Name of Business (if applicable)

Name of Tenant; Date of Birth; Social Security Number; Dates resident has lived in Silverton; Name of Business (if applicable)

Name of Tenant; Date of Birth; Social Security Number; Dates resident has lived in Silverton; Name of Business (is applicable)

Check here to have email confirmation of this request sent.

* Information is required.

Notes: A person's residency is presumed if their address is listed as: their mailing address, their address on official documentation such as Federal, State or Local documents, licenses, rental or lease agreements. If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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