Instructions For Completing Form 11 - Employer'S Municipal Tax Withholding Statement Page 2

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Dear Taxpayer:
Although the design of the tax booklet has changed, the content has re-
mained the same as in prior years. Please be assured the new layout will
not effect the calculation of your tax.
The booklet design change was made in an effort to improve the accuracy
and efficiency of processing your tax form and refund / credit requests.
Please refer to the following instructions when completing your tax form.
Our website address is
1. Please print numbers and characters within the boxes provided. Pay
careful attention so that a single character fits inside the box provided.
2. Please print letters according to the following method:
3. Please print numerals according to the following method:
4. Use an open box to signify a space between items.
5. Please use two letter postal abbreviation for state.
6. Due to space limitations please use the following city name abbreviations of
the Joint Economic Development Districts (JEDD)’s:
Beachwood East JEDD
-
BEA E JED
-
BEA W JED
Beachwood West JEDD
-
ELYRIA JED
Elyria Township / City of Elyria JEDD
Olmsted JEDD
-
OLMS JED
-
O C H JED
Orange - Chagrin - Highlands JEDD
-
REM T JED
Reminderville / Twinsburg Township JEDD
7. Companies should only complete information pertinent to their change
of address:
a. Company name
b. Federal Identification Number
c. New address information
d. Move date
Page 2

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