Rockford, OH · Mercer County

No notary required

Employer’s Monthly Return of Income Tax Withheld

Rockford employers use this monthly return to report compensation, income tax withheld, adjustments, penalties, and interest for a reporting period.

What this form is

This form lets employers report monthly compensation and income tax withheld to the Village of Rockford, along with prior-return adjustments and any penalty or interest. It also includes an annual withholding tax reconciliation and states that legible copies of employee W-2 forms must accompany that reconciliation by February 28. Employers provide account and federal ID numbers and certify the information with a signature and date.

Who needs it

Employers with compensation and income tax withholding to report to the Village of Rockford use this monthly return and its annual reconciliation.

How to submit it

The form says checks or money orders should be payable to the Village of Rockford and prints PO Box 282 and 151 E. Columbia St., Rockford, Ohio 45882. It does not specify where to submit the completed form.

About notarization

This document is signed and dated without a notary; the signer certifies the information, and the annual reconciliation requires legible W-2 copies, not a notarized attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Village of Rockford Employer’s Monthly Return of Income Tax Withheld.

  2. 2

    Complete The Return

    Enter the period, tax year, account and federal ID numbers, compensation, withholding, adjustments, penalties or interest, and total.

  3. 3

    Gather W-2 Copies

    For the annual reconciliation, include legible copies of W-2 forms; the form says they must accompany it by February 28.

  4. 4

    Sign And Date

    Certify the information by signing the form and entering the date and official title.

  5. 5

    Submit To The Village

    The form prints Village of Rockford addresses and says checks or money orders should be payable to the Village; it does not specify a submission address.

Frequently asked questions

Do I need a notary for the Employer’s Monthly Return of Income Tax Withheld?
No. The form has a signature and date line but no notary block. Its annual reconciliation calls for legible W-2 copies, not a notarized attachment.
How do I submit the monthly payroll form?
The form prints PO Box 282 and 151 E. Columbia St., Rockford, Ohio 45882, and says checks or money orders should be payable to the Village of Rockford. It does not specify a submission address.
What information does the monthly return ask for?
It asks for the reporting period and tax year, account and federal ID numbers, compensation, tax withheld, adjustments, penalties or interest, and the total. The signer certifies the information.
What must accompany the annual reconciliation?
The form says legible copies of W-2 forms must accompany the withholding tax reconciliation by February 28.

Need something notarized?

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