Form For Income Tax Withheld On Wages Monthly - City Of Parma

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CITY OF PARMA - DIVISION OF TAXATION
Use this form to report with-
WITHHELD
FOR INCOME TAX
ON WAGES MONTHLY
FORM PW-12
holdings of $100 or more per
FOR TAX OFFICE USE ONLY
TOTAL TAXES WITHHELD
month of a calendar quarter.
DOLLARS
CENTS
FOR THE MONTH OF
DUE ON OR BEFORE
FEDERAL EMPLOYEE I.D. NO.
PARMA ACCOUNT NO.
FOR TAX YEAR
IF LESS THAN $100.00 PAID THIS
MONTH MARK “NONE” AND RETURN
THIS FORM WITH EXPLANATION.
MAKE CHECK PAYABLE
AND MAIL THIS FORM TO:
CITY OF PARMA DIV. OF TAX
P.O. BOX 94734
CLEVELAND, OHIO 44101-4734
RETURN WITH PAYMENT
CITY OF PARMA - DIVISION OF TAXATION
Use this form to report with-
WITHHELD
FOR INCOME TAX
ON WAGES MONTHLY
FORM PW-12
holdings of $100 or more per
FOR TAX OFFICE USE ONLY
TOTAL TAXES WITHHELD
month of a calendar quarter.
DOLLARS
CENTS
FOR THE MONTH OF
DUE ON OR BEFORE
FEDERAL EMPLOYEE I.D. NO.
PARMA ACCOUNT NO.
FOR TAX YEAR
IF LESS THAN $100.00 PAID THIS
MONTH MARK “NONE” AND RETURN
THIS FORM WITH EXPLANATION.
TAXPAYER’S COPY
RETAIN FOR YOUR RECORDS
YOU WILL NOT RECEIVE
ANY VALIDATION
CITY OF PARMA - DIVISION OF TAXATION
Use this form to report with-
WITHHELD
FOR INCOME TAX
ON WAGES MONTHLY
FORM PW-12
holdings of $100 or more per
FOR TAX OFFICE USE ONLY
TOTAL TAXES WITHHELD
month of a calendar quarter.
DOLLARS
CENTS
FOR THE MONTH OF
DUE ON OR BEFORE
FEDERAL EMPLOYEE I.D. NO.
PARMA ACCOUNT NO.
FOR TAX YEAR
IF LESS THAN $100.00 PAID THIS
MONTH MARK “NONE” AND RETURN
THIS FORM WITH EXPLANATION.
MAKE CHECK PAYABLE
AND MAIL THIS FORM TO:
CITY OF PARMA DIV. OF TAX
P.O. BOX 94734
CLEVELAND, OHIO 44101-4734
RETURN WITH PAYMENT
CITY OF PARMA - DIVISION OF TAXATION
Use this form to report with-
WITHHELD
FOR INCOME TAX
ON WAGES MONTHLY
FORM PW-12
holdings of $100 or more per
FOR TAX OFFICE USE ONLY
TOTAL TAXES WITHHELD
month of a calendar quarter.
DOLLARS
CENTS
FOR THE MONTH OF
DUE ON OR BEFORE
FEDERAL EMPLOYEE I.D. NO.
PARMA ACCOUNT NO.
FOR TAX YEAR
IF LESS THAN $100.00 PAID THIS
MONTH MARK “NONE” AND RETURN
THIS FORM WITH EXPLANATION.
TAXPAYER’S COPY
RETAIN FOR YOUR RECORDS
YOU WILL NOT RECEIVE
ANY VALIDATION

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