Form I-2 - Individual Registration

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CITY OF CLEVELAND HEIGHTS INCOME TAX
CITY OF CLEVELAND HEIGHTS INCOME TAX
CITY OF CLEVELAND HEIGHTS INCOME TAX
CITY OF CLEVELAND HEIGHTS INCOME TAX
CITY OF CLEVELAND HEIGHTS INCOME TAX
FORM I-2
FORM I-2
FORM I-2
FORM I-2
FORM I-2
MAIL TO: P.O. BOX 18850, CLEVELAND HEIGHTS, OH 44118
INDIVIDUAL REGISTRATION
(216) 291-3978
Date of Move:______________________________
PLEASE PRINT
__________________________________________________________________________________________________
Name
Social Security Number
__________________________________________________________________________________________________
Spouse’s Name
Spouse’s Social Security Number
__________________________________________________________________________________________________
Street Address
Apartment Number
______________________________________________________________________________
City
State
Zip Code
______________________________________________________________________________
Home Phone
Work Phone
Check if you have income from:
Rental Property
Self-Employment: Trade name and address __________________________________________________
____________________________________________________________________
Please list all members in household:
Name
Name
Name
Age
Age
Age
Social Security Number
Social Security Number
Social Security Number
Employer
Employer
Employer
Name
Name
Age
Age
Social Security Number
Social Security Number
Employer
Employer
_______________________
________
_________________
__________________________
_______________________
________
_________________
__________________________
_______________________
________
_________________
__________________________
_______________________
________
_________________
__________________________
ESTIMATED TAX WORKSHEET
ESTIMATED TAX WORKSHEET
ESTIMATED TAX WORKSHEET
ESTIMATED TAX WORKSHEET
ESTIMATED TAX WORKSHEET
*Income from which tax withheld/paid to Cleveland Heights is excluded from this worksheet.
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