New Boston, OH · Scioto County
Form 869 W1
Businesses use Form 869 W1 to report employee counts, taxable earnings, income tax withheld, and other information to the Village of New Boston.
What this form is
This return reports taxable employees, compensation, taxable earnings, tax withheld, prior-period adjustments, and the total due for a tax year and period ending. The form asks for the taxpayer’s name and address, tax ID, and tax year, and includes a certification and space for a signature, title, date, and phone number.
Who needs it
A business or employer with taxable employees uses this return to report compensation and tax information to the Village of New Boston.
How to submit it
File the return at the address shown: Village of New Boston, Income Tax, 3980 Rhodes Avenue, New Boston, OH 45662-4999. Make any check or money order payable to the Village of New Boston, Income Tax.
About notarization
This return is signed and dated without a notary; the signer certifies the return and any attached schedules or exhibits as true and correct.
How to submit this form
- 1
Download the Return
Download Form 869 W1 as a PDF.
- 2
Complete the Return
Enter the requested tax, employee, compensation, taxpayer, and period information.
- 3
Gather Any Attachments
Attach any schedules or exhibits referenced in the certification, if applicable.
- 4
Sign and Date
Certify the information and sign and date the return.
- 5
File with the Village
File it at the Income Tax address shown on the form; make any check or money order payable to the named payee.
Frequently asked questions
- What is Form 869 W1 used for?
- Businesses use this return to report taxable employees, compensation, taxable earnings, tax withheld, prior-period adjustments, and the total due.
- Who should file Form 869 W1?
- A business or employer reporting taxable employees and related compensation and income tax information to the Village of New Boston uses this return.
- How do I submit Form 869 W1?
- File it with the Village of New Boston, Income Tax, at 3980 Rhodes Avenue, New Boston, OH 45662-4999. Make any check or money order payable to the Village of New Boston, Income Tax.
- Do I need a notary for Form 869 W1?
- No. The signer signs and dates the return and certifies its information, including any attached schedules or exhibits, as true and correct.