Do I need a notary for the Quarterly Payroll Return?

No. The form has a signature and date line but no notary block. The signer certifies the information, and legible W-2 copies must accompany the form.

How do I submit the Quarterly Payroll Return?

The form lists PO Box 282 and 151 E. Columbia St., Rockford, Ohio 45882. It also says to make any check or money order payable to the Village of Rockford.

What information does the form request?

It requests compensation and withholding totals, adjustments to prior returns, penalty or interest, employer account and federal ID numbers, and a withholding reconciliation.

What must accompany the form?

The form states that legible copies of W-2 forms must accompany it.

Rockford, OH · Mercer County

No notary required

Employer's Quarterly Return of Income Tax Withheld

Rockford employers use this quarterly form to report income tax withheld from employee compensation and reconcile withholding totals.

What this form is

Rockford employers use this form to report income tax withheld from employee compensation for each quarter. It asks for compensation, withholding, prior-return adjustments, any penalty or interest, and employer account and federal ID numbers. The form also includes an annual withholding reconciliation; legible W-2 copies must accompany it, and the stated reconciliation requires totals for all four quarters.

Who needs it

Employers reporting income tax withheld from employee compensation to the Village of Rockford need to complete this quarterly return.

How to submit it

The form lists PO Box 282 and 151 E. Columbia St., Rockford, Ohio 45882, and says to make checks or money orders payable to the Village of Rockford.

About notarization

This document is signed and dated without a notary; the signer certifies the information, and legible W-2 copies must accompany the form.

How to submit this form

1
Download The Form
Download the Quarterly Payroll Return PDF.
2
Complete The Return
Enter the employer identification details and quarterly compensation, withholding, adjustment, penalty, and total amounts.
3
Gather W-2 Copies
Attach legible copies of W-2 forms and complete the withholding reconciliation.
4
Submit To Rockford
Use the address shown on the form: PO Box 282 or 151 E. Columbia St., Rockford, Ohio 45882.

Frequently asked questions

Do I need a notary for the Quarterly Payroll Return?: No. The form has a signature and date line but no notary block. The signer certifies the information, and legible W-2 copies must accompany the form.
How do I submit the Quarterly Payroll Return?: The form lists PO Box 282 and 151 E. Columbia St., Rockford, Ohio 45882. It also says to make any check or money order payable to the Village of Rockford.
What information does the form request?: It requests compensation and withholding totals, adjustments to prior returns, penalty or interest, employer account and federal ID numbers, and a withholding reconciliation.
What must accompany the form?: The form states that legible copies of W-2 forms must accompany it.

Need something notarized?

This Employer's Quarterly 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.