Form 125-A "Certificate of Result of Election on School District Income Tax" - Ohio

What Is Form 125-A?

This is a legal form that was released by the Ohio Secretary of State - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2017;
  • The latest edition provided by the Ohio Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 125-A by clicking the link below or browse more documents and templates provided by the Ohio Secretary of State.

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Download Form 125-A "Certificate of Result of Election on School District Income Tax" - Ohio

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Form No. 125-A. Prescribed by Secretary of State (09-17)
Certificate of Result of Election
On School District Income Tax
R.C. 3501.11, 3505.33, 5748.03
The State of Ohio,
County, ss.
1
To
We, the undersigned, Board of Elections, do hereby certify that the
(Primary, General or Special)
on the
day of
Election held in the
(Name of School District)
on the question of imposing a school district income tax, for the benefit of the
,
(year)
(month)
school district for the purpose of
The income tax being at the rate of
, beginning
(Date on which the tax shall take effect)
Total number of votes cast:
(
)
(Write number of votes in words)
(In figures)
For the tax levy:
(
)
(Write number of votes in words)
(In figures)
Against the tax levy:
(
)
(Write number of votes in words)
(In figures)
as the same appears by the abstract of votes duly certified and signed by us and deposited in our office.
IN WITNESS WHEREOF, we have hereunto subscribed our names officially at
, Ohio, this
day of
,
.
(Month)
(Year)
(Chair)
Board of Elections
Attest:
County, Ohio.
Director
1
Report form must be sent to each of the following:
Secretary of State; Ohio Dept. of Taxation, Tax Analysis and Local Government Division; Board of Education of appropriate school district.
Form No. 125-A. Prescribed by Secretary of State (09-17)
Certificate of Result of Election
On School District Income Tax
R.C. 3501.11, 3505.33, 5748.03
The State of Ohio,
County, ss.
1
To
We, the undersigned, Board of Elections, do hereby certify that the
(Primary, General or Special)
on the
day of
Election held in the
(Name of School District)
on the question of imposing a school district income tax, for the benefit of the
,
(year)
(month)
school district for the purpose of
The income tax being at the rate of
, beginning
(Date on which the tax shall take effect)
Total number of votes cast:
(
)
(Write number of votes in words)
(In figures)
For the tax levy:
(
)
(Write number of votes in words)
(In figures)
Against the tax levy:
(
)
(Write number of votes in words)
(In figures)
as the same appears by the abstract of votes duly certified and signed by us and deposited in our office.
IN WITNESS WHEREOF, we have hereunto subscribed our names officially at
, Ohio, this
day of
,
.
(Month)
(Year)
(Chair)
Board of Elections
Attest:
County, Ohio.
Director
1
Report form must be sent to each of the following:
Secretary of State; Ohio Dept. of Taxation, Tax Analysis and Local Government Division; Board of Education of appropriate school district.