The Affidavit for Insertion of Initials on Property Duplicate and Tax List is a Cuyahoga County Fiscal Officer form, one of the Cuyahoga County property tax forms listed on the office's Real Estate Services Forms page. Employees in the roles printed on the form, such as peace officers, prosecuting attorneys, firefighters, bailiffs and judges, swear to it before a notary to ask that initials appear in place of a listed name, as provided in ORC 319.28(B)(1). On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original PDF is published by the Fiscal Officer at the official source link.
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What is Affidavit for Insertion of Initials on Property Duplicate and Tax List – Cuyahoga County, OH?
The Affidavit for Insertion of Initials on Property Duplicate and Tax List is a sworn statement published by the Cuyahoga County Fiscal Officer. Employees in listed roles use it to replace the current listed name with initials on the tax list and tax duplicate.
The affidavit has the affiant give a name and Ohio address, check the box for the job they currently hold, and write the current listed name and the initials that should replace it. The form cites ORC 319.28(B)(1), as enacted by HB 46 of the 127th Ohio General Assembly, and refers to the tax list of real and public utility property and the tax duplicate of the same property. The property is identified by Permanent Parcel No. and A.F.N., and the form says a legal description must be attached. The affidavit is sworn before a notary public under a "State of Ohio, County of Cuyahoga" heading.
The county lists the affidavit among its Real Estate Services Forms, next to forms such as the Change of Name Form and the Transfer on Death Designation Affidavit. Its page notes that documents on that list must be prepared in accordance with ORC 317.114, the standard format of instruments to be recorded.
The PDF also contains a separate Request to Redact Address, made under O.R.C. 149.45(D). That request asks a public office to redact the requester's address from records made available to the public on the internet. It is a different request from the affidavit and is not filed with the Fiscal Officer by default: its own instructions say to send it directly to the public office that maintains the records, and the statute it cites applies to public offices other than a county auditor's office.
Who needs to file Affidavit for Insertion of Initials on Property Duplicate and Tax List – Cuyahoga County, OH?
Employees in the roles printed on the affidavit use it when they want initials, rather than a name, shown on the tax list and tax duplicate for a property. The form says the affiant "is currently employed as" one of these roles, and you check the box that applies:
- Prosecuting Attorney, Asst. Prosecuting Attorney, Judge, Magistrate, Bailiff
- Peace Officer, Federal Law Enforcement Officer, BCI Investigator
- Probation Officer, Parole Officer
- Correctional Employee, County or Multicounty Corrections Officer, Community-Based Correctional Facility Employee, Youth Services Employee
- Firefighter, EMT, EMS Medical Director, Member of EMS Cooperating Physician Advisory Board
- Board of Pharmacy Employee
The county's forms page describes the affidavit more briefly, as for peace officers, prosecuting attorneys, assistant prosecuting attorneys, correctional employees, firefighters, parole officers, youth service employees and EMTs. The roles printed on the form itself are the fuller list.
The form has a signature line only for the affiant and a notary, and it names no one who may sign for the affiant.
The Request to Redact Address pages in the same PDF serve a wider audience: current designated public service workers and their spouses, former spouses and children, and qualifying former workers with a minimum of five years of qualifying service who left in good standing.
When to file Affidavit for Insertion of Initials on Property Duplicate and Tax List – Cuyahoga County, OH
Use the affidavit when you want initials to replace your listed name on the tax list and tax duplicate for a property. The form prints no deadline, so it is completed whenever that change is wanted.
Each affidavit covers the property described on it, identified by Permanent Parcel No. and A.F.N. with a legal description attached. The affiant must be currently employed in one of the listed roles when swearing to it.
The five-business-day period printed in the PDF belongs to the separate Request to Redact Address: after a public office receives that request, and the confirmation letter(s) where required, it must act within five business days, either redacting the address or explaining why redaction is not practicable. That period does not apply to the affidavit.
Documents you need
- Legal description of the property: the form states that it must be attached to identify the property affected by the affidavit.
- Confirmation letter from each employer where you accumulated service, only for a qualifying former designated public service worker who uses the Request to Redact Address pages of the PDF; it must confirm the years of service and that you left in good standing.
How to fill out Affidavit for Insertion of Initials on Property Duplicate and Tax List – Cuyahoga County, OH
Enter your name and address
On the opening line, write your name and address, then the city, "OH" and the ZIP code in the second line. These identify the affiant who is being sworn.
Check your employment category
Under "I am currently employed as," check the box that applies, such as Peace Officer, Firefighter, Bailiff or Judge. Check only the role you currently hold.
Enter the listed name and initials
Complete the sentence about the tax list of real and public utility property and the tax duplicate. Write the current listed name on the first blank and the initials that should replace it on the second.
Identify the property
Enter the Permanent Parcel No. and the A.F.N. under the property description. Attach the legal description, which the form says must accompany the affidavit.
Check the State and County heading
The notary block is printed with STATE OF OHIO and COUNTY OF CUYAHOGA. Leave those as printed.
Sign as affiant before a notary
Sign on the Affiant line when the notary is present, since the block is sworn to and subscribed before a notary public. Do not sign ahead of the notary.
Have the notary complete the jurat
The notary fills in the place, the day and month, and the year after "20" in the "Sworn To Before Me and Subscribed By Me, at ____, Ohio, this ___ day of ____ A.D." line, then signs as Notary Public.
Use the redaction request only if needed
The later pages of the PDF hold the separate Request to Redact Address. Complete Section A or B there only if you want that request; it is not part of the affidavit.
Review and download the completed PDF
Check the names, initials, parcel number and A.F.N. against your property records, then download or print the completed PDF from FillingPDF. Take it to the notary and assemble the package described under How to submit.
How to submit Affidavit for Insertion of Initials on Property Duplicate and Tax List – Cuyahoga County, OH
The affidavit itself prints no submission method. Its letterhead identifies the Cuyahoga County Fiscal Department, 2079 E. Ninth Street, Room 4-100, Cleveland, Ohio 44115, telephone (216) 443-7089, and the Ohio Relay Service (TTY) 1-800-750-0750. Call that number to confirm how the Fiscal Officer wants the notarized original delivered.
- County forms page: the affidavit is listed with the other Real Estate Services Forms at https://cuyahogacounty.gov/fiscal-officer/departments/transfer-and-recording/real-estate-services-forms. That page notes that documents on the list must follow the standard format of ORC 317.114.
- Package: the signed and notarized affidavit with the legal description of the property attached.
- Request to Redact Address: if you also use that request, complete Section A or B and send it, with any confirmation letter(s), directly to the public office that maintains the records. The Ohio Attorney General will not forward it and does not review or approve it.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Leaving out the legal description of the property; the form says it must be attached.
- Leaving every employment box unchecked instead of checking the box for the role you currently hold.
- Writing a full name on the "to the initials of" line instead of the initials that should appear.
- Leaving Permanent Parcel No. or A.F.N. blank, so the affidavit does not identify the property affected.
- Signing without a notary, when the affidavit is "Sworn To Before Me and Subscribed By Me" and ends with a Notary Public line.
- Sending the Request to Redact Address to the Ohio Attorney General; the form says the Attorney General will not forward requests or confirmation letters.
- Sending a redaction request without the required confirmation letter(s) when you are a qualifying former designated public service worker.
- Treating the affidavit and the Request to Redact Address as one request; the redaction request is sent to the public office that maintains the records.
Frequently asked questions
What is the Affidavit for Insertion of Initials on Property Duplicate and Tax List?
It is a sworn statement published by the Cuyahoga County Fiscal Officer. An employee in one of the roles printed on the form uses it to replace the current listed name with initials on the tax list and tax duplicate, as provided in ORC 319.28(B)(1).
Who can use the affidavit for insertion of initials in Cuyahoga County?
Employees in the roles printed on the form, such as peace officers, prosecuting attorneys, firefighters, EMTs, bailiffs, judges and parole officers. You check the box for the role you currently hold. The county's forms page names a shorter list, but the form's own list is fuller.
Does the affidavit have to be notarized?
Yes, the form is built to be sworn before a notary. It carries a State of Ohio, County of Cuyahoga heading, a line reading "Sworn To Before Me and Subscribed By Me," and a Notary Public signature line for the notary to complete.
What do I have to attach to the affidavit?
The legal description of the property. The form states that it must be attached next to the lines for the Permanent Parcel No. and A.F.N. The form lists no other attachment for the affidavit itself.
Where do I send the affidavit for insertion of initials?
The form prints no delivery instruction. Its letterhead gives the Cuyahoga County Fiscal Department, 2079 E. Ninth Street, Room 4-100, Cleveland, Ohio 44115, telephone (216) 443-7089. Call that number to confirm how the notarized original should be delivered.
Can I fill out the affidavit online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not file the affidavit; you take it to a notary and deliver it through the Fiscal Officer's channels.
Is the Request to Redact Address the same as this affidavit?
No. The Request to Redact Address in the same PDF is made under O.R.C. 149.45(D) and asks a public office to redact your address from internet records. It goes directly to the public office that maintains those records, and the Ohio Attorney General does not forward it.
Is there a deadline to file the affidavit?
The form prints no deadline for the affidavit. It is completed when you want initials to replace the listed name for a property. The five-business-day period in the PDF applies only to a public office acting on a redaction request.
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