City Of Parma Heights Individual Income Tax Return Form - Tax Department

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City of Parma Heights Individual Income Tax Return
2016
Due April
18
,
2017
6281 Pearl Road, Parma Heights, Ohio 44130
Tel (440) 888-6440 Fax (440) 885-8228
Mailing address:
Your first name and initial
Last name
Social Security #
City of Parma Heights
Tax Department
If joint return, spouse's first name and initial
Last name
Social Security #
PO Box 932516
Cleveland OH 44193
Home address (number and street)
2016
date moved in/out of Parma Heights:
New address:
City, State, and ZIP code
Previous address:
W-2 Table
(please review instructions before completing)
Column 1a
Column 1b
Column 1c
Column 1d
Column 1e
Date wages were
W2 Gross Wages
earned
(Box 5 or Box 18 of
Withheld for
Withheld for
Enter Lesser of
(Month/Day)
W2, whichever is
Parma Heights
Other Localities
Multiply Column
Column (1c) or
From
To
Employer/Location
greater)
(Box 19 of W2)
(Box 19 of W2)
(1a) by 2.0%
(1d)
$
$
$
$
Please attach all W2s and Fed Form 1040 with tax return
Column Totals
$
1
1
Total W-2 gross wages from Column 1a of W-2 table above (please attach all W-2s)
2
2
Adjustment to wages (please see instructions)
3
3
Adjusted W-2 wages. Subtract line 2 from line 1
Business/rental Income (Schedule B). If Profit on line 16 enter amount. If Loss on line 15 enter $0
4
4
5
5
Other income
6
6
Total taxable income (add lines 3, 4 and 5)
7
7
Parma Heights tax due before credits (multiply line 6 by 3.0%)
8
8
Taxes withheld and paid to Parma Heights (Column 1b of W-2 Table)
9
9
Credit for taxes paid or withheld in other localities (Column 1e of W-2 Table)
9a
9a
Credit for business taxes paid to other localities (Column G line 21 of Schedule B)
10
10
Estimated taxes paid to Parma Heights
11
11
Overpayment or tax credits from prior years
12
12
Total credits (add lines 8, 9, 9a, 10, and 11)
13
13
Difference - if line 7 is greater than line 12, and not less than $10.01, enter tax due.
14
14
Penalty and Interest: Late File $___________ Penalty $___________ Interest $___________
15
15
Difference - if line 12 is greater than line 7, and not less than $10.01, enter overpayment
16
16
Enter the amount of line 15 to apply to
2017
estimated payment (carry amount down to line 23)
Enter the amount of line 15 to be refunded (Note: Amounts $10.00 or less will not be refunded)
17
17
18
18
2017
estimated income:
$
Multiply estimated income by 3.0% (enter in Box 18)
19
19
Estimated taxes withheld by resident municipality
20
20
Estimated taxes withheld by other municipalities or JEDDs limited to 2.0%
21
21
Net estimated taxes (subtract lines 19 & 20 from line 18)
22
22
1st Quarter Estimated Taxes Due (Multiply line 21 by 25%)
23
23
Credit for
overpayment from line 16
2016
24
24
Estimate due - subtract line 23 from line 22. If less than zero enter $0.00
Please make check payable to: City of Parma Heights
25
25
Total amount due (add lines 13, 14 and 24)
Under penalties of perjury, I declare that I have examined this return and the accompanying schedules and statements, and to the best of my knowledge and
belief, they are true, correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Check box to allow the City to discuss return with tax preparer below:
Your signature
Date
Date
Tax preparer's signature and printed name
If joint return, spouse's signature
Date

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