Rush Notary

Celina, OH · Mercer County

No notary required

Return of Tax Withheld

Celina employers use this quarterly form to report gross wages subject to withholding, tax withheld, and the total due to the city.

What this form is

This form reports wages subject to Celina withholding, the amount withheld, any penalty or interest, and the total due for one of four quarters. The form lists the due date for each quarter and states a 50% penalty for amounts not timely paid. It asks for the employer’s name and address, federal ID number, wage and tax amounts, and an authorized signature.

Who needs it

Employers with wages subject to Celina withholding use the form to report and pay the amount withheld for the applicable quarter.

How to submit it

Mail the completed form to the Tax Administrator, P.O. Box 117, Celina, Ohio 45822-0117.

About notarization

This document is signed without a notary; the authorized signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Return of Tax Withheld form and choose the section for the applicable quarter.

  2. 2

    Complete The Form

    Enter the name and address, federal ID number, gross wages subject to withholding, amount withheld, penalty or interest, and total due.

  3. 3

    Sign The Form

    Have an authorized signer sign the form.

  4. 4

    Mail It To The Tax Administrator

    Mail the completed form to P.O. Box 117, Celina, Ohio 45822-0117.

Frequently asked questions

What does the Return of Tax Withheld report?
It reports total gross wages subject to withholding, the amount withheld, any penalty or interest, and the total due for the selected quarter.
Who uses the Celina Return of Tax Withheld?
Employers reporting wages subject to Celina withholding use this form to provide the wage and tax amounts and an authorized signature.
How do I submit the Return of Tax Withheld?
Mail the completed form to the Tax Administrator at P.O. Box 117, Celina, Ohio 45822-0117.
Do I need a notary for the Return of Tax Withheld?
No. The form has an authorized signature line but no notary block; the signer just signs and dates it.

Need something notarized?

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