This questionnaire is for anyone recently moved to Perrysburg. If you have received this form in the mail, please do not use the form from this website. If you wish to use the form on this website, please disregard any mailed form. Thank you.

 If you have questions when completing the form, don't hesitate to call the City of Perrysburg Income Tax Division at 419-872-8035.

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The City of Perrysburg Income Tax Division uses the information you provide on this form to complete its records. You may receive this form as a result of a landlord notifying us of a rental change, being a new water customer, a notice from the State or other locality of a W-2 with a Perrysburg zip code or school district code, or other means. The information you give us will be held in strict confidence under our ordinance. You are required to complete the entire form and return it within 10 days. 

Please print out the PDF, complete and mail to:

City of Perrysburg
Income Tax Division
201 West Indiana Avenue
Perrysburg, OH 43551

If you are a retiree, and believe you may be exempt from Perrysburg municipal income tax, please print this form, complete it, and mail it to the address above.