Anna, OH · Shelby County
Application for Withholding Tax Account
Businesses use this application to establish a Village of Anna withholding tax account and provide information about their employees and work locations.
What this form is
This application lets a business provide information to establish a Village of Anna withholding tax account. It asks for business contact and identification details, worksite and employee information, and the method of reporting. It also describes when an employer may voluntarily withhold tax for an employee’s city of residence and lists the Village’s current withholding rate.
Who needs it
A business seeking to establish withholding for employees working in Anna or voluntarily for employees’ cities of residence should complete the application.
How to submit it
Return the completed questionnaire to the Village of Anna Department of Taxation, P.O. Box 140, Anna, Ohio 45302; email [email protected] or fax 937.394.4704.
About notarization
This application has no notary block; it asks for today’s date and lists no sworn attachment or notarized step.
How to submit this form
- 1
Download The Application
Download the Application for Withholding Tax Account.
- 2
Complete The Application
Provide the requested business, employee, worksite, reporting method, and date information.
- 3
Check The Information
Review the completed questionnaire; the document does not list a separate attachment.
- 4
Return It To The Village
Send it to the Village of Anna Department of Taxation by mail, email, or fax.
Frequently asked questions
- What is the Anna withholding tax account application for?
- Businesses use it to provide information for establishing a Village of Anna withholding tax account, including business details, employee and worksite information, and a reporting method.
- Who should complete this application?
- A business seeking to establish withholding for employees working in Anna, or voluntary withholding for employees’ cities of residence, should complete the application.
- Do I need a notary for the Anna withholding tax account application?
- No. The application has no notary block and asks for today’s date; it lists no sworn attachment or notarized step.
- How do I submit the Anna withholding tax account application?
- Return it to the Village of Anna Department of Taxation by mail at P.O. Box 140, Anna, Ohio 45302, by email to [email protected], or by fax to 937.394.4704.