Attorney General Collection Enforcement and Special Counsel

During the collection of state tax claims for sales and use, employer withholding or motor fuel tax, the Attorney General’s Collection Enforcement division and its special counsel may become aware of information that could form the basis of a responsible party assessment. In order to facilitate the transfer of information that can form the basis of an assessment, the Department of Taxation has created the following Word fill-in form:

This form can be downloaded, completed and mailed to the Department of Taxation at the following address:

Ohio Department of Taxation
Attn: Sales and Use Tax Division, Responsible Party Unit
30 E. Broad St., 20th Floor
Columbus, Ohio 43215

The form may also be sent by fax to (614) 466-4977

Requests for a responsible party assessment should include all back-up documentation.