Form 17 PDF Details

Totals must be distributed by municipality on Page 2 in Section 5.

Employees: Total number of employees working in a RITA member municipality(ies) at year end.

Enclosed: Total number of W-2's enclosed and total number of 1099-NEC enclosed.

Page 2 total: Must equal totals on Page 1 from Section 4.

WFH Indicator: Check the WFH indicator box if employees worked from home (or from a qualified remote work location) in the municipality listed.

Amended return: If this is an amended return, check here.

QuestionAnswer
Form NameForm 17
Form Length2 pages
Fillable?Yes
Fillable fields99
Avg. time to fill out17 min
Editionv25.1
Issuing agencyRegional Income Tax Agency
Where to sendAttn RITA, P.O. Box 715170, Cincinnati, OH 45271-5170
Filing deadlineOn or before the last day of February of the following year
Other namesForm 17, RITA Form 17, RITA 17, Form 17 RITA, Reconciliation of Income Tax Withheld and W-2/1099-NEC Transmittal