Net Profit Estimate Form - Cleveland, Ohio Division Of Taxation

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CCA – DIVISION OF TAXATION
Municipal Income Tax Forms
CLEVELAND OH 44113-1503
(216) 664-2070
(800) 223-6317
Due April 18, 2016
Name of Business
Address
Trade Name
Address
City, State, Zip
5
6
5
6
3
4
3
4
2
2
1
BALANCE
PAYMENT DUE
1
BALANCE
PAYMENT DUE
ESTIMATED
PRIOR YEAR
ESTIMATED
PRIOR YEAR
ESTIMATED
¼ OF COL. 3
ESTIMATED
¼ OF COL. 3
CODE
CODE
MUNICIPALITY
MUNICIPALITY
ANNUAL TAX
CREDIT
ANNUAL TAX
CREDIT
TAX DUE
LESS COL. 4
TAX DUE
LESS COL. 4
Ada
002
Munroe Falls
533
004
545
025
548
Bradner
117
555
120
560
Burton
176
Norton
575
Clayton
199
585
County)
200
Orwell
605
Dresden
260
640
Elida
276
698
307
702
Gates Mills
330
Russells Point
703
347
722
Grand Rapids
356
772
357
788
371
Union
797
382
830
408
833
Linndale
420
834
455
837
Medina
487
West Milton
835
495
TOTALS
YES
NO
(Date)
Title
Address of Preparer
KEEP A COPY FOR YOUR RECORDS
NO Payment Enclosed - Mail to:
Payment Enclosed - Mail to:
Refund Request - Mail to:
MAIL
PO BOX 94520
TO
PO BOX 94810
PO BOX 94723

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