Rita Form 17 PDF Details

Are you overwhelmed by the thought of having to fill out yet another form? Do you find yourself wanting to avoid papers and documents that look intimidating, but know you need them when tax season comes around? You’re not alone! The Rita Form 17 is a crucial document every taxpayer should have on hand. While it might not be the most exciting thing in the world to review, understanding this form can help make tax filing much easier — and potentially save time and money. Read on as we give an overview of the Rita Form 17 in our detailed guide.

QuestionAnswer
Form NameRita Form 17
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names Reconciliation of Income Tax

Form Preview Example

Form

17

Regional Income Tax Agency

Reconciliation of Income Tax

Withheld and W-2/1099-NEC Transmittal

1

Tax Year:

3

Total number of W-2’s enclosed:

 

Due on or before the last day of February of the following year.

Total number of 1099-NEC enclosed:

 

 

 

 

 

 

Total number of employees working in a

 

 

 

 

 

 

 

 

 

 

RITA member municipality(ies) at year

 

 

 

 

Fed. ID #:

 

 

 

 

end:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

IF THIS IS AN AMENDED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RETURN CHECK HERE

 

 

 

 

 

 

Suite:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address #:

 

 

 

 

OUT OF BUSINESS

 

 

 

 

 

 

 

 

 

Street Name:

City:

State:

Period

2

 

 

 

January

 

$

February

 

$

March

 

$

April

 

$

May

 

$

June

 

$

July

 

$

August

 

$

September

 

$

October

 

$

November

 

$

December

 

$

Total

4

$

Zip Code:

Workplace Wages

Workplace Tax Withheld

$

$

$

$

$

$

$

$

$

$

$

$

$

MOVED OUT OF RITA

Residence Tax Withheld

$

$

$

$

$

$

$

$

$

$

$

$

$

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

(if additional space is needed, attach a separate schedule)

Page

1

Fed. ID #:

5

 

Municipality

 

 

 

 

 

 

 

 

Number of employees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

at year end

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workplace Wages

Workplace

 

Workplace Tax

Residence Tax

 

 

 

Tax Rate

 

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

%

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Municipality

 

 

 

 

 

 

 

 

Number of employees

 

 

 

 

 

 

 

 

 

 

 

at year end

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workplace Wages

Workplace

 

Workplace Tax

Residence Tax

 

 

 

Tax Rate

 

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

%

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Municipality

 

 

 

 

 

 

 

 

Number of employees

 

 

 

 

 

 

 

 

 

 

 

at year end

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workplace Wages

Workplace

 

Workplace Tax

Residence Tax

 

 

 

Tax Rate

 

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

%

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Municipality

 

 

 

 

 

 

 

 

Number of employees

 

 

 

 

 

 

 

 

 

 

 

at year end

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workplace Wages

Workplace

 

Workplace Tax

Residence Tax

 

 

 

Tax Rate

 

 

$

 

$

 

 

$

 

 

 

 

 

 

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Municipality

 

 

 

 

 

 

 

 

Number of employees

 

 

 

 

 

 

 

 

 

 

 

at year end

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workplace Wages

Workplace

 

Workplace Tax

Residence Tax

 

 

 

Tax Rate

 

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

%

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

TOTAL: Must equal totals on Page 1 from Section 4.

 

Total Residence Tax

7

Total number of

 

 

 

Total Workplace Wages

Total Workplace Tax

 

 

employees at year end

$

$

$

8Note: If you file a Form 17 as a professional employer organization (PEO), common pay master, co-employer, or other agent providing payroll services to unrelated third party employers, including, but not limited to, clients, subsidiaries, other companies, etc., you must also provide specific information on each of these employers. Use Schedule R-17 to report for each employer EIN and Name and to allocate the Workplace Wages, Workplace Tax Withheld, Residence Tax Withheld and RITA Municipality.

I have examined this return and to the best of my knowledge it is correct.

9

 

Signature

 

 

Title

 

Date

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

Phone:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For OVERNIGHT mail: Attn RITA

 

 

Page

 

 

 

 

Mail to: Attn RITA

 

2

P.O. BOX 715170

 

 

P.O.BOX 715170

 

 

 

CINCINNATI, OH 45271-5170

 

 

895 CENTRAL AVENUE SUITE 600

 

 

 

Fax: 440.922.3536

 

 

CINCINNATI, OH 45202-5703

 

 

 

v20.1

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1. You'll want to fill out the Rita Form 17 accurately, therefore be attentive while filling in the segments comprising these fields:

Writing section 1 of Rita Form 17

2. Once your current task is complete, take the next step – fill out all of these fields - April, May, June, July, August, September, October, November, December, Total, and Totals must be distributed by with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Writing section 2 of Rita Form 17

3. The following step will be about Municipality, Fed ID, Number of employees, at year end, Workplace Wages, Workplace Tax Rate, Workplace Tax, Residence Tax, Municipality, Number of employees, at year end, Workplace Wages, Workplace Tax Rate, Workplace Tax, and Residence Tax - fill in every one of these blanks.

The best way to prepare Rita Form 17 portion 3

4. To go ahead, your next form section involves typing in several blanks. These include Workplace Wages, Workplace Tax Rate, Workplace Tax, Residence Tax, Municipality, Number of employees, at year end, Workplace Wages, Workplace Tax Rate, Workplace Tax, Residence Tax, Municipality, Number of employees, at year end, and Workplace Wages, which you'll find vital to moving forward with this process.

Workplace Tax Rate, Municipality, and Workplace Wages in Rita Form 17

5. To finish your document, the final section requires some extra blank fields. Filling out I have examined this return and to, Signature, Title, Date, Print Name, Phone, Mail to Attn RITA, PO BOX, CINCINNATI OH Fax, For OVERNIGHT mail Attn RITA, POBOX CENTRAL AVENUE SUITE, and Page will finalize the process and you'll definitely be done in a short time!

Rita Form 17 writing process explained (stage 5)

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