Form IT941 "Ohio Employer's Annual Reconciliation of Income Tax Withheld" - Ohio

What Is Form IT941?

This is a legal form that was released by the Ohio Department of Taxation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2014;
  • The latest edition provided by the Ohio Department of Taxation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IT941 by clicking the link below or browse more documents and templates provided by the Ohio Department of Taxation.

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Download Form IT941 "Ohio Employer's Annual Reconciliation of Income Tax Withheld" - Ohio

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Ohio Employer’s Annual
Reconciliation of Income
Tax Withheld, Form IT 941
Front side of Ohio form IT 941
Reset Form
DO NOT USE PENCIL
Please cut on the dotted lines –
to complete this form.
Ohio Employer’s Annual Reconciliation
OHIO IT 941
IT 941
Do NOT fold check or voucher.
of Income Tax Withheld
Rev. 10/14
Ohio Withholding Acct. No.
Federal Employer ID No.
Tax Year
Name
1. Ohio income
$
tax withheld
Address
2. Previous
$
payments
City, state, ZIP code
$
3. Balance
due
Due on or before:
Check here if
$
amended return.
4. Refund
I declare under penalties of perjury that this return, including any accompanying schedules and
DO NOT STAPLE OR OTHERWISE ATTACH YOUR CHECK OR CHECK STUB TO THIS FORM. DO NOT
statements, has been examined by me and to the best of my knowledge and belief is a true, cor-
SEND CASH. Return this form with check or money order made payable to OHIO TREASURER OF STATE
rect and complete return and report.
and mail to OHIO DEPARTMENT OF TAXATION, P.O. BOX 182667, COLUMBUS, OHIO 43218-2667.
If your refund is $1.00 or less, no refund will be issued.
Signature of responsible party
Title
Telephone number
If you owe $1.00 or less, no payment is necessary.
Your Social Security number
Date

Ohio Employer’s Annual
Reconciliation of Income
Tax Withheld, Form IT 941
Front side of Ohio form IT 941
Reset Form
DO NOT USE PENCIL
Please cut on the dotted lines –
to complete this form.
Ohio Employer’s Annual Reconciliation
OHIO IT 941
IT 941
Do NOT fold check or voucher.
of Income Tax Withheld
Rev. 10/14
Ohio Withholding Acct. No.
Federal Employer ID No.
Tax Year
Name
1. Ohio income
$
tax withheld
Address
2. Previous
$
payments
City, state, ZIP code
$
3. Balance
due
Due on or before:
Check here if
$
amended return.
4. Refund
I declare under penalties of perjury that this return, including any accompanying schedules and
DO NOT STAPLE OR OTHERWISE ATTACH YOUR CHECK OR CHECK STUB TO THIS FORM. DO NOT
statements, has been examined by me and to the best of my knowledge and belief is a true, cor-
SEND CASH. Return this form with check or money order made payable to OHIO TREASURER OF STATE
rect and complete return and report.
and mail to OHIO DEPARTMENT OF TAXATION, P.O. BOX 182667, COLUMBUS, OHIO 43218-2667.
If your refund is $1.00 or less, no refund will be issued.
Signature of responsible party
Title
Telephone number
If you owe $1.00 or less, no payment is necessary.
Your Social Security number
Date

If possible, please print (duplex) this page as the reverse side of the Ohio form IT 941. If
you are unable to duplex this page, please keep this second page for your records and
only mail in the front side of the Ohio form IT 941. Do not mail this page in separately.
Reverse side of Ohio form IT 941
Month
Ohio Gross Payroll
Ohio Tax Withheld–Line 1
January
February
March
April
May
June
July
August
September
October
November
December
Annual Total
Page of 2