Who uses the Employer’s Return of Tax Withheld and Reconciliation?

Employers use the quarterly returns to report payroll subject to Gallipolis city tax and tax withheld, then use the annual reconciliation to compare yearly withholding and payments.

What must accompany the annual reconciliation?

The form says copies of W-2s for taxable employees and copies of all 1099-Misc. forms must accompany the annual reconciliation.

Do I need a notary for the Employer’s Return of Tax Withheld and Reconciliation?

No. This form is signed and dated without a notary. The annual reconciliation requires W-2 and 1099-Misc. copies, but the form does not specify a notarized attachment.

Gallipolis, OH · Gallia County

No notary required

Employer’s Return of Tax Withheld and Reconciliation

Employers use this form to report Gallipolis city income tax withheld quarterly and reconcile withholding for the year.

What this form is

Employers use the quarterly returns to report gross payroll subject to city tax, tax withheld at 1.5%, prior-period adjustments, and payment details. The annual reconciliation reports yearly withholding and payments and is due February 28; copies of taxable employees’ W-2s and all 1099-Misc. forms must accompany it. The form also provides space to explain adjustments.

Who needs it

Employers withholding Gallipolis city income tax use the quarterly returns and annual reconciliation to report payroll, withholding, payments, and adjustments.

How to submit it

Return the form and make checks payable to the City of Gallipolis Income Tax Department. Mail it to PO Box 339, Gallipolis, Ohio 45631.

About notarization

This document is signed and dated without a notary; the required W-2 and 1099-Misc. copies accompany the annual reconciliation, and no notarized attachment is specified.

How to submit this form

1
Download The Form
Download the Employer’s Return of Tax Withheld and Reconciliation PDF.
2
Complete The Form
Enter employer and account details, payroll, tax withheld, prior-period adjustments, and payment information.
3
Gather Annual Attachments
For the annual reconciliation, attach W-2 copies for taxable employees and copies of all 1099-Misc. forms.
4
Return The Form
Return the form and make checks payable to the City of Gallipolis Income Tax Department at PO Box 339, Gallipolis, Ohio 45631.

Frequently asked questions

Who uses the Employer’s Return of Tax Withheld and Reconciliation?: Employers use the quarterly returns to report payroll subject to Gallipolis city tax and tax withheld, then use the annual reconciliation to compare yearly withholding and payments.
What must accompany the annual reconciliation?: The form says copies of W-2s for taxable employees and copies of all 1099-Misc. forms must accompany the annual reconciliation.
Do I need a notary for the Employer’s Return of Tax Withheld and Reconciliation?: No. This form is signed and dated without a notary. The annual reconciliation requires W-2 and 1099-Misc. copies, but the form does not specify a notarized attachment.
How do I submit the withholding return and reconciliation?: Return the form and make checks payable to the City of Gallipolis Income Tax Department. Mail it to PO Box 339, Gallipolis, Ohio 45631.

Need something notarized?

This Employer’s Return of Tax Withheld and Reconciliation doesn’t need a notary — but if you have another Gallipolis form that does, a commissioned online notary can help.