Form Adj Ws - School District Withholding Adjustments Worksheet

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hio
Department of
ADJ WS
Taxation
Rev. 11/09
Reset Form
School District Income Tax
P.O. Box 182388
Columbus, OH 43218-2388
School District Withholding Adjustments Worksheet
period, you should continue to adjust your next SD 101(s) until you are
You may adjust your payments within the same school district by enter-
in balance for that district.
ing your underpayment or overpayment from a prior period during the
same taxable year and showing the net amount beside that school district
Any adjustments between school districts (negatives) can only be made
number below. Do not show a net amount below zero on Ohio form
on your annual reconciliation, Ohio form SD 141.
SD 101 long. If you cannot use up your overpayment for that district this
School District
School District Name
This Period
Underpayment
(Overpayment)
Period Net
Number
Please make additional copies of this worksheet as necessary.

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