Gallipolis, OH · Gallia County

No notary required

Employer’s Return of Tax Withheld and Withholding Tax Reconciliation

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

What this form is

The form includes monthly returns for reporting gross payroll subject to city tax, tax withheld, prior-period adjustments, and payment information, followed by an annual withholding tax reconciliation. The monthly sections list due dates, and the reconciliation is due February 28. The form requests employer and contact details and requires W-2 copies for taxable employees; if nonemployee compensation was paid, it also requires 1099-Misc. copies.

Who needs it

Employers reporting Gallipolis city income tax withheld and reconciling annual withholding use this form.

How to submit it

Return the completed copy and make checks payable to the City of Gallipolis Income Tax Department. Include W-2 copies for taxable employees and 1099-Misc. copies if nonemployee compensation was paid.

About notarization

This document is signed and dated without a notary; the form lists no sworn or notarized attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Employer’s Return of Tax Withheld and Withholding Tax Reconciliation.

  2. 2

    Complete The Form

    Enter payroll, withholding, adjustment, payment, employer, and contact details in the relevant monthly and annual sections.

  3. 3

    Gather Required Attachments

    Attach W-2 copies for taxable employees and 1099-Misc. copies if nonemployee compensation was paid.

  4. 4

    Return The Form

    Return the completed copy and make checks payable to the City of Gallipolis Income Tax Department.

Frequently asked questions

What does the Employer’s Return of Tax Withheld report?
It reports monthly gross payroll subject to city tax, tax withheld, prior-period adjustments, and payment information, and includes an annual withholding reconciliation.
What attachments does the reconciliation require?
Include copies of W-2s for taxable employees. If nonemployee compensation was paid, the form also asks for copies of 1099-Misc. forms.
Do I need a notary for the Employer’s Return of Tax Withheld?
No. This form is signed and dated without a notary, and it lists no sworn or notarized attachment.
How do I submit the withholding form?
Return the completed copy and make checks payable to the City of Gallipolis Income Tax Department. Include the required W-2 and, if applicable, 1099-Misc. copies.

Need something notarized?

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