Declaration Of Estimated Tax Form - City Of Parma - 2011

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CITY OF PARMA
Division OF Taxation
6611 Ridge Rd.
Parma, Ohio 44129
Phone (440) 885-8045 Fax (440) 885-8044
Michael P. Mason Tax Commissioner
PARMA ACCOUNT NUMBER (office use) _______________________________________________
 INDIVIDUAL
 JOINTLY (you may file jointly even if you filed individually for federal purpose)
 CORPORATION
 PARTNERSHIP
NAME:__________________________________________SS# or FID#_________________________
NAME OF SPOUSE: _______________________________SS#________________________________
ADDRESS: ______________________________________
______________________________________
MOVE IN DATE: _________________________________
MOVE OUT DATE: _______________________________
PREVIOUS ADDRESS: ____________________________
_____________________________________
DECLARATION OF ESTIMATED TAX FOR YEAR 2011
If you need any assistance, see our web site at
under tax rate
and tax credit or contact the Parma Tax Department at 440-885-8045.
1)
ESTIMATED TAX LIABILITY FOR 2011: $__________
2)
AMOUNT ENCLOSED WITH THIS APPLICATION: $__________
MAKE CHECK PAYABLE TO: CITY OF PARMA DIVISION OF TAX
______________________________________________________
__________
SIGNATURE OF TAXPAYER
DATE
______________________________________________________
__________
SIGNATURE OF SPOUSE (if filing jointly)
DATE
1/10/2011S:\MASON FILES\letters of tax\INDIVIDUAL REGISTRATION.doc

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