Office of the Tax Commissioner
6450 Wiehe Road • Golf Manor, OH 45237 • 513-531-5155 513-531-4404 FAX www.golfmanoroh.gov
Landlord/Tenant Information Form
The information collected on this form is required by Ordinance (Section 729.01) to be completed each by each landlord and
submitted to the Village of Golf Manor Tax Commissioner twice per year no later than July 31 and December 31. All applicable
fields required to be completed by landlord.
Name/Name of Business:
Address:
Street City State Zip
Phone Number:
Social Security or FID Number:
Email Address:
Type of Business:
Individual Proprietorship Partnership
Corporation
If a Corporation, Name of President:
Name of Treasurer:
If a Partnership, Names of Partners &
Addresses:
#1.
Street City State Zip
#2.
Street City State Zip
Address of Rental Property:
TENANT INFORMATION
UNIT #________
UNIT #________
UNIT #________
UNIT #________
NAME:
ADDRESS:
PHONE:
EMAIL:
SOCIAL
SECURITY #:
DATE MOVED
IN:
PREVIOUS
MUNICIPALITY
WHERE
RESIDED:
DRIVER
LICENSE #
State Issued License #
State Issued License #
State Issued License #
State Issued License #