Form Sd 101 - Employer'S Payment Of School District Income Tax Withheld

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OHIO SD 101 Short
Employer’s Payment of
School District Income Tax
Withheld
Use Ohio form SD 101 short when reporting nine or fewer school districts for a period.
When reporting 10 or more school districts, you must use Ohio form SD 101 long.
Go paperless! File your return through Ohio Business Gateway: tax.ohio.gov
DO NOT USE PENCIL
Please cut on the dotted lines.
to complete this form.
Do NOT fold check or voucher.
Reset Form
Employer’s Payment of School
School District Name
SD Number
Tax Due
District Income Tax Withheld
07080102
Ohio Withholding Acct. No.
Payment Due Date
Taxable Year
For the Period Ending
FEIN
SD 101
Name
Rev. 9/08
Do not staple or otherwise attach your
check or check stub to this coupon.
For State Use Only
Do not send cash. Make remittance
payable to School District Income Tax
and mail to: Ohio Department of Taxa-
M
M
D D
Y
Y
tion, P.O. Box 182388, Columbus, OH
43218-2388.
I declare under penalties of perjury that this return, including any accompanying
schedules and statements, has been examined by me and to the best of my
Total Tax Due
knowledge and belief is a true, correct and complete return and report.
$
(Pay this amount)
One check only
Signature
Date
101

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