Form P-1040 - City Of Parma Income Tax Return - 2001
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1
22001
IF YOU MOVED OR HAD ANY CHANGE IN STATUS DURING
City of Parma Income Tax Return
2001, THIS BLOCK MUST BE COMPLETED.
Date moved into Parma
Mail this return to THE CITY OF PARMA, DIVISION OF TAXATION, P.O. BOX
Previous Address
94734, Cleveland, OH 44101-4734, on or before April 30, 2002 or within 4 months
after the close of a fiscal year or period.
Phone: (440) 885-8045
Date moved out of Parma
Present Address
Filing Status:
Individual
Joint
Corporation
Partnership
If retired, give date
Filing for 2001 calendar year
Other Status Change & Date
Filing for fiscal year
thru
DATE OF BIRTH
YOURS
SPOUSE'S
Social Security
or
Federal I.D. No.
PARMA
ACCOUNT NO.
1. WAGES-If your only source of income is from wages, fill in shaded areas only.
A
B
EMPLOYER'S NAME
CITY EMPLOYED
CITY TAX WITHHELD
TOTAL W-2 WAGES
W-2
COPIES
MUST
BE
ATTACHED
1) TOTALS
$
$
2) IF YOUR ONLY SOURCE OF INCOME IS FROM WAGES GO TO SHADED AREA ON LINE 8
3) INCOME OTHER THAN WAGES FROM PAGE 2 (LOSSES ENTER 0)
3
$
4) TOTAL INCOME (TOTAL LINES 1 AND 3)
4
$
5) (A) ITEMS NOT DEDUCTIBLE (FROM LINE M SCHEDULE X)
ADD $
(B) ITEMS NOT TAXABLE (FROM LINE Z SCHEDULE X)
OTHER
DEDUCT $
(C) ENTER EXCESS OF LINE 5A OR 5B
5C
$
INCOME
6) (A) ADJUSTED NET INCOME (LINE 4, PLUS OR MINUS LINE 5C) IF SCHEDULE X IS USED
6A
$
(B) AMOUNT ALLOCABLE TO PARMA
% OF LINE 6A NON-RESIDENT BUSINESSES ONLY
6B
$
(C) LESS ALLOCABLE NET LOSS PER PREVIOUS CITY INCOME TAX RETURNS (SUBMIT SCHEDULE)
6C
$
7) AMOUNT SUBJECT TO CITY INCOME TAX (LINE 6A OR 6 B LESS LINE 6C)
7
$
8) MUNICIPAL INCOME TAX - 2% OF LINE 1B (OR 7 IF APPLICABLE)
8
$
9) (A) MUNICIPAL INCOME TAX WITHHELD FROM LINE 1A Max. 2%
9A $
(B) INCOME TAX PAID OTHER MUNICIPALITIES NOT RECORDED ON 1A (MAX. 2%)
9B $
(C) PAYMENTS & CREDITS ON 2001 DECLARATION OF ESTIMATED TAX
9C $
(D) TOTAL-ADD LINES 9A + 9B + 9C
9D
$
10) (A) BALANCE DUE (LINE 8 LESS LINE 9D) PAYMENT MUST ACCOMPANY THIS RETURN
10A
$
MAKE CHECK PAYABLE TO CITY OF PARMA DIV. OF TAX
NOTE: AMOUNTS UNDER $1.00 WILL NOT BE COLLECTED OR CREDITED AS OVERPAYMENTS.
10) (B) OVERPAYMENT IF LINE 9D EXCEEDS LINE 8) ENTER DIFFERENCE
10B $
IF OVERPAYMENT CHECK ONLY ONE: CREDIT OVERPAYMENT ON 2002 ESTIMATE
REFUND
11) PENALTY $
: INTEREST $
. ENTER TOTAL OF PENALTY PLUS INTEREST HERE
11
$
12) TOTAL AMOUNT DUE (ADD LINES 10A & 11) - PAY IN FULL WITH THIS RETURN
12
$
IF BALANCE DUE EXCEEDS $100 AND/OR YOU HAVE PAID THE CITY OF PARMA ON AN ESTIMATE FOR THE 2001 TAX YEAR, COMPLETE (LINES 13 THRU 18)
DECLARATION OF ESTIMATED TAX FOR YEAR 2002
TAX OFFICE USE ONLY
13) (A) TOTAL ESTIMATED INCOME SUBJECT TO TAX $
MULTIPLY BY TAX RATE (2%)
13 B $
KEY DATE
14) LESS TAX CREDITS:
EXAMINED
(A) TO BE WITHHELD BY EMPLOYER IN PARMA
$
OVERPAYMENT REFUNDED
(B) TO BE WITHHELD OR PAID IN
(NAME OF CITY)
$
(C) TOTAL-ADD LINES 14A AND 14B ENTER HERE
14 C $
DATE
15) NET ESTIMATED TAX DUE (LINE 13B LESS LINE 14C)
15
$
REQ.
16) DIVIDE AMOUNT ON LINE 15 BY FOUR. ENTER AMOUNT
16 $
AMOUNT
17) IF LINE 10B IS CHECKED FOR CREDIT TO 2002 ESTIMATE ENTER AMOUNT
17 $
18) SUBTRACT LINE 17 FROM LINE 16. ENTER AMOUNT
18 $
19) (A) AMOUNT ENCLOSED 2001 (LINE 10A OR 12) $
19) (B) 2002 ESTIMATE (FROM LINE 18) $
TOTAL (19A & 19B) $
I CERTIFY I HAVE EXAMINED THIS RETURN INCLUDING ACCOMPANYING SCHEDULES AND STATEMENTS, AND TO THE BEST OF MY KNOWLEDGE AND
BELIEF IT IS TRUE AND CORRECT.
Signature of Person Preparing, if Other Than Taxpayer
Signature of Taxpayer or Agent (Required)
Date
Address or Name and Address of Firm or Employer
Signature of Spouse, If Joint Return
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