Ohio Request to File By Paper

Request to File By Paper
Form FIT FBP
FIT FBP

Request to
File By Paper

Please do not
use staples.
FIT account number

Rev. 8/20

Ohio charter or license number

FEIN/SSN

Use only UPPERCASE letters.
Reporting person's name

Street address (number and street)
City

State

Contact's first name

ZIP code

M.I. Last name

Telephone

Fax

Title

E-mail

Ohio Revised Code section 5726.03 requires that all FIT filers remit each tax payment and corresponding report electronically. Additionally, a person required by that section to remit taxes or file reports electronically may apply to the tax commissioner, on the form
prescribed, to be excused from that requirement for good cause.
Please select and describe in detail the reason(s) the above-referenced taxpayer requests to be excluded from the electronic filing
requirement. The department will respond by letter indicating either approval or denial.
File by paper

Pay by check

File by paper and pay by check

SIGN HERE (required)
I declare under penalty of perjury that I am the taxpayer or the taxpayer’s authorized agent having knowledge of the relevant facts in
this matter to file this request to file by paper.



Signature	

Date (MM/DD/YY)

Name

Title

Taxpayer representative: The taxpayer will be represented in the matter by the following individual. Please attach a Declaration of
Tax Representative (Ohio form TBOR 1), which can be found on the department’s Web site at tax.ohio.gov.
First name
Telephone

M.I. Last name
Title

E-mail

Options to send this request: Electronically: tax.ohio.gov – Contact Us - Online Notice Response Service or
gateway.ohio.gov – Online Notice Response Service: eFax – 206-666-4462; Mail: Ohio Department of Taxation, Business
Tax Division - Financial Institutions Tax Unit, P.O. Box 2476 Columbus OH 43216-2476