Form Ph Ir - Individual Income Tax Return - City Of Parma Heights - 1999
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1
2OFFICE
USE
PH IR
CITY OF PARMA HEIGHTS
ONLY
Page 1
6281 Pearl Road, Parma Heights, Ohio 44130-3084
INDIVIDUAL INCOME TAX RETURN
TAX OFFICE PHONE (440) 888-6440
DUE DATE APRIL 30, 2000
MINIMUM PENALTY OF $25.00 IF FILED AFTER APRIL 30, 2000.
IF FILED AFTER DECEMBER 31, 2000, CREDIT FOR TAXES
1999
WITHHELD AND/OR PAID TO ANOTHER MUNICIPALITY WILL BE
DISALLOWED.
CHECK THIS BOX IF YOU HAVE FEDERAL EXTENSION
Your Social Security No.
Spouse’s Social Security No.
Spouse’s Name
READ INSTRUCTIONS – ATTACH COPY OF EXTENSION
MAKE CHECK PAYABLE TO CITY OF PARMA HEIGHTS
Your Name and Address as they appear on our records. Make any Necessary Corrections
IF RETIRED, give date
IF YOU MOVED DURING 1999, COMPLETE THIS BLOCK
Date moved into Parma Heights
Previous Address
Date moved out of Parma Heights
Present Address
Other Status Change & Date
Phone No.
Daytime No.
READ INSTRUCTIONS BEFORE PREPARING THIS RETURN
1. WAGES, SALARIES, TIPS, COMMISSIONS AND OTHER EMPLOYEE COMPENSATION BEFORE PAYROLL DEDUCTIONS. IF PARTIAL YEAR RESIDENT, SEE INSTRUCTIONS.
C. Tax Withheld
D. Parma Heights
E. Gross Earnings
W-2
A. Names of Employers
B. City Where Employed
COPIES
In Other City
Income Tax Withheld
Before Deductions
MUST BE
$
$
$
ATTACHED
OR
TAX CREDIT
LINE 7 (a3)
WILL BE
DISALLOWED
TOTALS
$
$
$
$
2.
Net Profit or Loss, Pg. 2 (Sch. C, G & H) DO NOT DEDUCT LOSS FROM W-2 INCOME. Copy of Federal Schedules Required .
$
3.
TAXABLE INCOME (Total COL. E & Line 2) ....................................................................................................................................
$ (
)
4.
ADJUSTMENTS: A. Business Expense (Disallowed if Federal 1040, Sched A & 2106 NOT ATTACHED) See Instructions ........
$ (
)
B. Less Income Earned While Non-Resident (Income Earned In Parma Heights Cannot Be Prorated) ..........
$
5.
TOTAL ADJUSTED TAXABLE INCOME SUBJECT TO PARMA HEIGHTS INCOME TAX ..............................................................
$
6.
Parma Heights Income Tax 2% of Line 5 .........................................................................................................................................
7.
CREDITS: (a1) Tax Withheld In Other Cities (Total Col. C) ..................................... $
(a2) Reduce Taxes Withheld In Other Cities (SEE TAX CREDIT
COMPUTATION INSTRUCTIONS NO’S 4 THROUGH 9) .............. $ (
)
(a3) Credit for Taxes Withheld In Other Cities; (a1) Less (a2) X .50 ............................... $
(b)
Tax Withheld In Parma Heights (Total Col. 1D) ....................................................... $
(c)
Payments TO PARMA HEIGHTS ON 1999 ESTIMATE. (As of _____________)
$
(d)
Overpayment FROM PRECEDING YEAR .............................................................. $
(e)
RESIDENTS ONLY - 50% Of Tax Paid To Other Cities on Line 2 INCOME ............ $
$ (
)
(f)
TOTAL CREDITS (Add Lines 7 a3, b, c, d, e) ....................................................................................................
$
8.
(a) TAX DUE (Line 6 Less Line 7f) ..................................................................................................................................................
(b) Overpayment Claimed (If Line 7f exceeds Line 6 enter difference here) .......................... $
(c) Enter Amount of Line 8b you want Credited to your 2000 Estimated Tax ......................... $
(d) Amount to be refunded (Line 8b Less Line 8c) (NO REFUND LESS THAN $5.00) .......... $
$
9.
PENALTY (10%) (See Instructions) (MINIMUM PENALTY OF $25.00 IF FILED AFTER APRIL 30, 2000) ....................................
$
10.
PENALTY (10%) (Underpayment of Estimated Tax (See Instructions)Penalty is figured separately for each installment ...............
$
11.
INTEREST (18%) (See Instructions) ...............................................................................................................................................
$
12.
TOTAL AMOUNT DUE FOR 1999 (PAYABLE WITH THIS RETURN ON OR BEFORE APRIL 30, 2000) ......................................
DECLARATION OF ESTIMATED TAX FOR 2000 (PENALTY ASSESSED FOR FAILING TO PAY ESTIMATED TAX - SEE INSTRUCTIONS)
$
13.
Total Estimated Income Subject to Tax ____________________ X TAX RATE OF 2% FOR GROSS TAX OF ..............................
14.
Parma Heights Tax to be withheld $
50% Credit for Tax Withheld or Paid to another city $
$ (
)
15.
Total of Line 14 (Box 1 plus 2) .........................................................................................................................................................
$
16.
NET TAX DUE (Subtract Line 15 from Line 13) ...............................................................................................................................
$
17.
AMOUNT DUE WITH ESTIMATE 1/4 of Line 16 (Payable with this return on or before April 30, 2000) .........................................
$ (
)
18.
Overpayment from previous year - Credit from (Line 8c) (If Applicable) ..........................................................................................
$
19.
Subtract Line 18 From Line 17 - AMOUNT DUE WITH THIS FORM on or before April 30, 2000 ...................................................
TOTAL TAX DUE - ADD LINES 12 & 17 OR LINES 12 & 19 REMIT THIS AMOUNT ON OR BEFORE APRIL 30, 2000
$
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
Date
Signature of Taxpayer or Agent (Required)
Date
Address or Name and Address of Firm Or Employer - Phone No. (
)
Signature of Spouse, if joint return
Date
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