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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
 Please cut on the dotted lines. DO NOT USE PENCIL to complete this form.

Reset Form Do NOT fold check or voucher.
Employer’s Payment of School School District Name SD Number Tax Due
District Income Tax Withheld 07080102
Ohio Withholding Acct. No. Payment Due Date

For the Period Ending Taxable Year

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 D D M 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
knowledge and belief is a true, correct and complete return and report. Total Tax Due
(Pay this amount) $
One check only
Signature Date
101

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                                                                                                                                                                Rev. 11/14
                             School Districts With an Income Tax for 2015 
                   Boldface indicates a newly enacted rate, a rate change for 2015 or a change in the tax type. 

                                             Decimal                                                                                        Decimal 
SD#  School District Name (and Counties)       Rate                      Percent      SD#  School District Name (and Counties)                Rate              Percent 

       Earned Income Only Tax Base School Districts                                         Traditional Tax Base School Districts (cont’d.) 
2301  Amanda-Clearcreek LSD (Fairﬁeld) .......   .0150                   1½%          6301  Antwerp LSD (Paulding).........................   .0150             1½%
0502  Athens CSD (Athens) .............................   .0100          1%           3201  Arcadia LSD (Hancock, Seneca)............ .0100                     1%
2801  Berkshire LSD (Geauga) ........................   .0100            1%           1902  Arcanum-Butler LSD (Darke) .................   .0150                1½%
2302 	 Berne-Union LSD (Fairﬁ eld, Hocking)   .0200                      2%           3202  Arlington LSD (Hancock)........................   .0125             1¼%
5501  Bethel LSD (Miami) ................................   .0075        ¾%           2001  Ayersville LSD (Deﬁance) ......................   .0100             1%
7502  Botkins LSD (Auglaize, Shelby) .............   .0125               1¼%          3901  Bellevue CSD (Erie, Huron, Sandusky, 
5901  Cardington-Lincoln LSD (Marion,                                                       Seneca).................................................. .0050     ½%
       Morrow) .................................................. .0075  ¾%           2501  Bexley CSD (Franklin)............................   .0075           ¾%
5401  Celina CSD (Mercer) ..............................   .0075         ¾%           2101  Big Walnut LSD (Delaware)....................   .0075               ¾%
8501  Chippewa LSD (Wayne).........................   .0100              1%           2303  Bloom-Carroll LSD (Fairﬁeld) .................   .0125              1¼%
6501  Circleville CSD (Pickaway).....................   .0075            ¾%           0203  Bluffton EVSD (Allen, Hancock) .............   .0050                ½%
7001  Clear Fork Valley LSD (Knox,                                                    8701  Bowling Green CSD (Henry, Wood) .......   .0050                     ½%
       Richland) ................................................ .0100  1%           5502  Bradford EVSD (Darke, Miami, Shelby) .   .0175                      1¾%
5204  Cloverleaf LSD (Medina) ......................   .0125             1¼%          8601  Bryan CSD (Williams)............................. .0100             1%
7201  Clyde-Green Springs EVSD                                                        1701  Buckeye Central LSD (Crawford, Huron, 
       (Sandusky, Seneca) ............................... .0100          1%                 Richland, Seneca).................................. .0150           1½%
1704  Crestline EVSD (Crawford, Richland) ....   .0025                   ¼%           2102  Buckeye Valley LSD (Delaware, Marion, 
8702  Eastwood LSD (Wood)...........................   .0100             1%                 Morrow, Union)....................................... .0100         1%
5101  Elgin LSD (Delaware, Hardin, Marion) ...   .0075                   ¾%           2502  Canal Winchester LSD (Fairﬁeld, 
7203  Gibsonburg EVSD (Sandusky, Wood)....   .0075                       ¾%                 Franklin) ................................................. .0075   ¾%
3603 Greenﬁ eld EVSD (Fayette, Highland,                                              8801  Carey EVSD (Seneca, Wyandot) ...........  .0100                     1%
       Ross)...................................................... .0125 1¼%          8301  Carlisle LSD (Montgomery, Warren).......  .0100                     1%
0302  Hillsdale LSD (Ashland, Wayne) ............   .0125                1¼%          2902  Cedar Cliff LSD (Clark, Greene).............  .0125                 1¼%
7403  Hopewell-Loudon LSD (Seneca)............   .0050                   ½%           4201  Centerburg LSD (Delaware, Knox, 
7506  Jackson Center LSD (Auglaize,                                                         Licking)................................................... .0075   ¾%
       Logan, Shelby) ....................................... .0150      1½%          2002  Central LSD (Deﬁance, Williams)...........  .0075                   ¾%
4901  Jefferson LSD (Madison) .....................   .0100              1%           1303  Clermont-Northeastern LSD (Brown, 
4902  Jonathan Alder LSD (Franklin,                                                         Clermont)................................................  .0100    1%
       Madison, Union) ................................... .0125         1¼%          5402  Coldwater EVSD (Mercer)......................  .0050                ½%
2305  Lancaster CSD (Fairﬁeld).......................   .0150            1½%          1703  Colonel Crawford LSD (Crawford)..........  .0125                    1¼%
2805  Ledgemont LSD (Ashtabula, Geauga) ...   .0125                      1¼%          1502  Columbiana EVSD (Columbiana, 
6502  Logan Elm LSD (Hocking, Pickaway).....  .0100                      1%                 Mahoning) .............................................. .0100      1%
5504  Miami East LSD (Champaign, Miami) ....  .0175                      1¾%          6901  Columbus Grove LSD (Allen, Putnam)...  .0100                        1%
5505  Milton-Union EVSD (Miami) ...................   .0125              1¼%          6902  Continental LSD (Putnam) .....................  .0100               1%
3902  Monroeville LSD (Erie, Huron) ...............   .0150              1½%          3203  Cory-Rawson LSD (Hancock) ................  .0175                   1¾%
8605  Montpelier EVSD (Williams) ...................  .0125              1¼%          5503  Covington EVSD (Miami) .......................  .0200               2%
8705  North Baltimore LSD (Hancock,                                                   1503  Crestview LSD (Columbiana) .................  .0100                 1%
       Wood)..................................................... .0125  1¼%          8101  Crestview LSD (Van Wert)......................  .0100               1%
4508  North Fork LSD (Knox, Licking).............. .0100                 1%           8502  Dalton LSD (Wayne)...............................  .0075            ¾%
7612  Northwest LSD (Stark, Summit,                                                   4202  Danville LSD (Holmes, Knox).................  .0175                 1¾%
       Wayne) ................................................... .0100  1%           2003 Deﬁ ance CSD (Deﬁance, Paulding) .......  .0050                      ½%
1204  Northwestern LSD (Clark, Champaign)..   .0100                      1%           6803  Eaton CSD (Preble)................................  .0150           1½%
8706  Northwood LSD (Wood).......................   .0025                ¼%           8602  Edgerton LSD (Deﬁance, Williams)........  .0100                     1%
8504  Norwayne LSD (Medina, Wayne)...........   .0075                    ¾%           8703  Elmwood LSD (Hancock, Wood)............  .0125                      1¼%
0908  Ross LSD (Butler) ..................................   .0075       ¾%           2602  Evergreen LSD (Fulton, Lucas)..............  .0200                  2%
5008  Sebring LSD (Mahoning)........................   .0100             1%           8001  Fairbanks LSD (Madison, Union) ...........  .0100                   1%
3118  Southwest LSD (Hamilton, Butler).......... .0075                   ¾%           2903  Fairborn CSD (Clark, Greene, 
6503  Teays Valley LSD (Fairﬁeld, Franklin,                                                 Montgomery) .......................................... .0050        ½%
       Pickaway)............................................... .0150    1½%          2304 Fairﬁ eld Union LSD (Fairﬁeld, Hocking, 
6806 	 Tri-County North LSD (Darke,                                                         Perry)......................................................  .0200 2%
       Montgomery, Preble)............................ .0100             1%           7503  Fairlawn LSD (Shelby) ...........................  .0075            ¾%
8509  Triway LSD (Holmes, Wayne) ................   .0075                ¾%           7504  Fort Loramie LSD (Darke, Shelby) .........  .0150                   1½%
5509  Troy CSD (Miami)...................................   .0150        1½%          5406  Fort Recovery LSD (Darke, Mercer).......  .0150                     1½%
2308  Walnut Township LSD (Fairﬁeld) ............   .0175                1¾%          1903  Franklin Monroe LSD (Darke, Miami).....  .0075                      ¾%
3907  Willard CSD (Crawford, Huron) ..............   .0075               ¾%           7202  Fremont CSD (Sandusky) ......................  .0125                1¼%
                                                                                      2603  Gorham Fayette LSD (Fulton) ................  .0100                 1%
            Traditional Tax Base School Districts 
                                                                                      1305  Goshen LSD (Clermont, Warren) ...........  .0100                    1%
                                                                                      2904  Greeneview LSD (Clinton, Fayette, 
3301  Ada EVSD (Hancock, Hardin) ................   .0150                1½%                Greene) .................................................. .0100    1%
7501  Anna LSD (Shelby)................................. .0125           1¼%
1901  Ansonia LSD (Darke) .............................   .0175          1¾%                                                     (continued on next page)(continued on next page)
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                                                                                                                                                                     Rev. 11/14 
                         School Districts With an Income Tax for 2015 
                                           Decimal                                                                                        Decimal 
SD#  School District Name (and Counties)     Rate                               Percent      SD#  School District Name (and Counties)       Rate                          Percent 

      Traditional Tax Base School Districts (cont’d.)                                              Traditional Tax Base School Districts (cont’d.) 
1904  Greenville CSD (Darke) ..........................  .0050            ½%                 3504  Patrick Henry LSD (Henry, Putnam, 
7505  Hardin-Houston LSD (Shelby) ................  .0075                 ¾%                       Wood)..................................................... .0175  1¾%
3302  Hardin Northern LSD (Hancock,                                                          6302  Paulding EVSD (Paulding, Putnam) .......  .0100                   1% 
      Hardin)....................................................  .0175  1¾%                8708  Perrysburg EVSD (Wood) ......................  .0050              ½% 
2004  Hicksville EVSD (Deﬁ ance) ....................  .0150              1½%                2604  Pettisville LSD (Fulton, Henry) ...............  .0100            1% 
5902  Highland LSD (Delaware, Morrow) .........  .0050                    ½%                 2307  Pickerington LSD (Fairﬁ eld, Franklin) .....  .0100               1% 
3604  Hillsboro CSD (Highland) .......................  .0100             1%                 5507  Piqua CSD (Miami) ................................. .0125         1¼% 
3501  Holgate LSD (Henry) ..............................  .0150           1½%                7007  Plymouth-Shiloh LSD (Crawford, Huron, 
6903  Jennings LSD (Putnam) .........................  .0075              ¾%                       Richland) ................................................ .0100  1% 
4503  Johnstown-Monroe LSD (Delaware,                                                        6804  Preble Shawnee LSD (Butler, 
      Licking)................................................... .0100   1%                       Montgomery, Preble).............................. .0175           1¾%
6904  Kalida LSD (Putnam) ..............................  .0100           1%                 2509  Reynoldsburg CSD (Fairﬁ eld, Franklin, 
3303  Kenton CSD (Hardin, Wyandot) .............  .0150                   1½%                      Licking)................................................... .0050 ½%
7204  Lakota LSD (Sandusky, Seneca, Wood)     .0150                       1½%                3304  Ridgemont LSD (Hardin, Logan) ............   .0175                1¾% 
6905  Leipsic LSD (Putnam) ............................  .0075            ¾%                 3305  Riverdale LSD (Hancock, Hardin, 
3205  Liberty-Benton LSD (Hancock) ...............  .0075                 ¾%                       Wyandot)................................................ .0100    1% 
3502  Liberty Center LSD (Fulton, Henry) ........  .0175                  1¾%                4604  Riverside LSD (Logan, Shelby) ...........   .0175                 1¾% 
2306  Liberty Union-Thurston LSD                                                             7507  Russia LSD (Darke, Shelby) ..................   .0075             ¾% 
      (Fairﬁ eld) ................................................  .0175 1¾%                7406  Seneca East LSD (Huron, Seneca) ........ .0100                    1% 
4506  Licking Valley LSD (Licking, Muskingum) .0100                       1%                 7008  Shelby CSD (Richland) ..........................   .0100          1% 
4903  London CSD (Madison) ..........................  .0100              1%                 3905  South Central LSD (Huron, Richland) ....   .0125                  1¼% 
0303  Loudonville-Perrysville EVSD (Ashland,                                                 1205  Southeastern LSD (Clark, Greene) ........   .0100                 1% 
      Holmes, Knox, Richland) ........................  .0125             1¼%                4510  Southwest Licking LSD (Fairﬁeld, 
0905  Madison LSD (Butler) .............................  .0050           ½%                       Licking)................................................... .0075 ¾% 
3206  McComb LSD (Hancock, Putnam,                                                           0209  Spencerville LSD (Allen, Auglaize, 
      Wood)..................................................... .0150    1½%                      Van Wert)................................................ .0100   1% 
1102  Mechanicsburg EVSD (Champaign,                                                         5010  Springﬁ eld LSD (Mahoning) ...................     .0100          1% 
      Madison).................................................  .0150    1½%                8607  Stryker LSD (Williams) ...........................   .0150        1½% 
8604  Millcreek-West Unity LSD (Williams) ......  .0100                   1%                 2606  Swanton LSD (Fulton, Lucas) ................   .0075              ¾% 
6906  Miller City-New Cleveland LSD (Putnam) ..  .0125                    1¼%                0909  Talawanda CSD (Butler, Preble) ............. .0100                1% 
0601  Minster LSD (Auglaize, Darke, Mercer                                                   1103  Triad LSD (Champaign, Logan, Union) ..   .0150                    1½% 
      Shelby) ................................................... .0100   1%                 1906  Tri-Village LSD (Darke) ..........................   .0150        1½% 
1905  Mississinawa Valley LSD (Darke) ...........  .0175                  1¾%                6805  Twin Valley Community LSD (Preble) ....   .0150                   1½% 
8802  Mohawk LSD (Crawford, Seneca,                                                          7106  Union-Scioto LSD (Ross) .......................   .0050           ½% 
      Wyandot)................................................ .0100      1%                 1510  United LSD (Columbiana) ......................   .0050            ½% 
5903  Mount Gilead EVSD (Morrow) ................  .0075                  ¾%                 8803  Upper Sandusky EVSD (Crawford, 
6802  National Trail LSD (Darke, Preble) .........  .0175                 1¾%                      Marion, Wyandot)................................... .0125         1¼%
0602  New Bremen LSD (Auglaize, Mercer,                                                      3306  Upper Scioto Valley LSD (Auglaize, 
      Shelby) ................................................... .0100   1%                       Hardin, Logan)........................................ .0050      ½% 
0603  New Knoxville LSD (Auglaize, Shelby) ...  .0125                     1¼%                5713  Valley View LSD (Montgomery, Preble) ... .0125                    1¼% 
5708  New Lebanon LSD (Montgomery) ..........  .0125                      1¼%                8104  Van Wert CSD (Van Wert) ......................   .0100            1% 
3903  New London LSD (Ashland, Huron,                                                        3208  Vanlue LSD (Hancock, Seneca, 
      Lorain) .................................................... .0100  1%                       Wyandot)................................................ .0100    1%
0907  New Miami LSD (Butler) .........................  .0100             1%                 1907  Versailles EVSD (Darke, Shelby) ...........   .0100               1% 
7404  New Riegel LSD (Seneca) .....................  .0150                1½%                0605  Wapakoneta CSD (Auglaize)..................   .0075               ¾% 
4507  Newark CSD (Licking) ............................  .0100            1%                 6303  Wayne Trace LSD (Paulding, Putnam,
5506  Newton LSD (Darke, Miami) ...................  .0175                1¾%                      Van Wert)................................................ .0125   1¼% 
8003  North Union LSD (Delaware, Union) ......  .0100                     1%                 0606  Waynesﬁ eld-Goshen LSD (Allen, 
5904  Northmor LSD (Marion, Morrow,                                                                Auglaize, Logan) .................................... .0100       1% 
      Richland) ................................................ .0100    1%                 4715  Wellington EVSD (Huron, Lorain) ...........   .0100               1% 
8505  Northwestern LSD (Ashland, Wayne).....  .0125                       1¼%                1105  West Liberty-Salem LSD (Champaign, 
3904  Norwalk CSD (Huron) .............................  .0050            ½%                       Logan) .................................................... .0175 1¾% 
4712  Oberlin CSD (Lorain) ..............................  .0200          2%                 3906  Western Reserve LSD (Erie, Huron) ......   .0125                  1¼% 
7405  Old Fort LSD (Sandusky, Seneca) .........  .0100                    1%                 1404  Wilmington CSD (Clinton, Greene) ........   .0100                 1% 
8707  Otsego LSD (Henry, Lucas, Wood) ........  .0100                     1%                 3122  Wyoming CSD (Hamilton) ......................   .0125             1¼% 
6907  Ottawa-Glandorf LSD (Putnam) .............  .0050                   ½%                 2906  Xenia Community CSD (Greene, 
6908  Ottoville LSD (Paulding, Putnam) ...........  .0075                 ¾%                       Warren)................................................... .0050  ½% 
6909  Pandora-Gilboa LSD (Allen, Putnam) ......  .0175                    1¾%                2907  Yellow Springs EVSD (Clark, Greene) ...   .0100                   1% 
5405  Parkway LSD (Auglaize, Mercer, 
      Van Wert)................................................  .0100    1% 

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