Reconciliation Of Parma Income Tax Withheld From Wages - 2003 - City Of Parma

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CITY OF PARMA DIVISION OF TAXATION
6611 RIDGE ROAD
MON - FRI
PHONE: (440) 885-8045 - FAX: (440) 885-8044
PARMA, OH 44129
8:30 AM TO 4:30 PM
Michael P. Mason
Tax Commissioner
Reconciliation of Parma Income Tax WITHHELD From Wages
Tax Year 2003
EMPLOYERS FEDERAL ID#
PARMA ACCOUNT #
DO NOT FAIL TO FURNISH EMPLOYEES ADDRESS ON W2
3. Total Parma Income Tax Withheld During Year
(FORM PW-1) for:
1. Total number of employees as represented by
Quarter ended March 31
$
Forms W-2 Submitted herewith
Quarter ended June 30
$
2. Total PARMA Income Tax withheld from
Quarter ended September 30
$
wages during year shown by employees
statement (Form W-2)
$
Quarter ended December 31
$
Please check type of withholding:
4. TOTAL
$
Parma employment tax only
*5. Difference between Lines 2 & 4
Parma employment and residence tax
(Instructions Below)
$
Parma residence tax only
*If Line 5 indicates a balance due, the amount thereof
If any of the above information is incorrect or has changed, please
should accompany this return; if line 5 indicates an over-
correct below. I.E. (name change, fid# change, business closed, etc.)
payment, it will be applied on the 2004 withholding tax
unless the refund box below is checked and a signature
provided.
REFUND
Authorized Signature
INSTRUCTIONS
The original of this reconciliation form must be filed with the COMMISSIONER OF TAXATION, CITY OF PARMA, 6611 RIDGE RD., PARMA
OH 44129, on or before January 31, 2004 unless written request for extension has been made to and granted (in writing) by the Commissioner.
This form must be accompanied by copies of employees statements (Form W2) or optional form showing: (1) name, address, and city of
residence of employee: (2) social security number: (3) gross earnings paid before any payroll deductions: (4) amount of PARMA and other city
income tax withheld: and (5) name, adress and federal identification number (FID) of employer. An adding machine tape, listing the amount of
Parma income tax withheld as indicated by the individual employees statements, should be attached thereto.
RETURN THIS COPY WITH FORMS W2 AND ANY REQUIRED PAYMENT TO:
CITY OF PARMA - DIVISION OF TAXATION
6611 RIDGE ROAD
PARMA, OH 44129
TAX DEPARTMENT COPY - TO BE FILED

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