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                                                                                                                                                                                                                       CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                       FORM PW-12
                                                                                                                                                                                                        FOR INCOME TAX                                       WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                          FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 IN THIS AREA.
                                                                                                                                                                                                                                                             TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                              DUE ON OR BEFORE                                                                     DOLLARS                                                                               CENTS
                                                                                                                               JAN                                                                      02/1 /2025                                          3

FEDERAL EMPLOYER I.D. NO.                                                                                                                         PARMA ACCOUNT NUMBER                      FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           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
                                                                                                                                                                                                                                                                                                                                                                                                                            A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                            regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                       CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                       FORM PW-12
                                                                                                                                                                                                        FOR INCOME TAX                                       WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                          FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 IN THIS AREA.
                                                                                                                                                                                                                                                             TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                              DUE ON OR BEFORE                                                                     DOLLARS                                                                               CENTS
                                                                                                                               FEB                                                                      03/15/2023

FEDERAL EMPLOYER I.D. NO.                                                                                                                         PARMA ACCOUNT NUMBER                      FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           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
                                                                                                                                                                                                                                                                                                                                                                                                                            A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                            regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FORM
CITY OF PARMA - DIVISION OF TAXATION EMPLOYER’S QUARTERLY RETURN OF TAX                                                                                                                                                                                                                                                                                                                                                                                                                         WITHHELD                                                                                                        PW-1
I certify that the information and statements contained herein, and in any schedules or exhibits attached are                                                                                                                                                                                                                                   Parma                                                        Employment Tax                                                                     Withheld this
true and correct.                                                                                                                                                                                                                                                                        1                                                      Quarter @ 2.5%
(SIGNED)                                                                                                                                                                                                     DATE
                                                                                                                                                                                                                                                                                                                                                Plus                                            Resident Tax                                                                       Withheld this
TITLE                                                                                                                          FOR QUARTER ENDING                                                                                                            03-31-2023                  2                                               Quarter
                  (Pres. Treasurer, Partner, etc.)                                                                                                                                                                                                                                                                                              Less Amount Previously
FEDERAL EMPLOYER I.D. NO.                                                                                                                                              PARMA ACCOUNT NUMBER                                                                                              3                                                      Paid in for This Quarter
                                                                                                                                                                                                                                                                                                                                                Interest at 0.42% for Each Month or
                                                                                                                                                                                                                                                                                         4                                                      Fraction Thereof for Late Payment
                                                                                                                                                                                                                                                                                                                                         Penalty of 50% of amount not paid plus $25.00
                                                                                                                                                                                                                                                                                         5                                               for each month late. Capped at $150.00
                                                                                                                                                                                                                                                                                                                                                Total (Include Interest
                                                                                                                                                                                                                                                                                         6                                                      and Penalty Due)
                                                                                                                                                                                                                                                                                                                   If no wages paid this Quarter mark NONE and return this form with explanation
                                                                                                                                                                                                                                                                                                                   MAKE CHECK PAYABLE                                                                                                                                                                                                                                                         FOR           THE     YEAR
                                                                                                                                                                                                                                                                                                                   AND MAIL THIS FORM TO:
                                                                                                                                                                                                                                                                                         CITY OF PARMA DIV. OF TAX
                                                                                                                                                                                                                                                                                         P.O. BOX 94734                                                                                                                                                                                                                                                                                       2023 Q1
                                                                                                                                                                                                                                                                                         CLEVELAND, OHIO 44101-4734
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              DUE ON        OR      BEFORE 
                                                                                                                                                                                                                                                                                         RETURN WITH PAYMENT                                                                                                                                                                                                                                                                                  04/30/2023



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Enlarge image
                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

2) Enter amount of residence tax withheld.

3) Enter amount of tax previously paid this quarter.

4) Enter interest at the rate of 0.42% per month for any late payment.

5) Enter penalty at the rate of 50% of the amount not paid on time plus $25.00 for each month late. Capped at $150.00.

6) Add total from line 1, 2, 4 and 5 then subtract line 3 and place total on line 6.

Signature - Sign and date return. A return is not considered filed until signed.

Due date - All filings are due by the 30th day following the end of the withholding period.

                                                                                           CONFIRM NAME, ADDRESS AND FEDERAL IDENTIFICATION NUMBER



- 3 -

Enlarge image
                                                                                                                                                                                                                       CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                       FORM PW-12
                                                                                                                                                                                                        FOR INCOME TAX                                       WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                          FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 IN THIS AREA.
                                                                                                                                                                                                                                                             TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                              DUE ON OR BEFORE                                                                     DOLLARS                                                                               CENTS
                                                                                                                               APR                                                                      05/1 /2025                                          3

FEDERAL EMPLOYER I.D. NO.                                                                                                                         PARMA ACCOUNT NUMBER                      FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           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
                                                                                                                                                                                                                                                                                                                                                                                                                            A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                            regardless of liability. Capped at $150.00 per return.

                                                                                                                                                                                                                       CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                       FORM PW-12
                                                                                                                                                                                                        FOR INCOME TAX                                       WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                          FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 IN THIS AREA.
                                                                                                                                                                                                                                                             TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                              DUE ON OR BEFORE                                                                     DOLLARS                                                                               CENTS
                                                                                                                               MAY                                                                      06/15/2023

FEDERAL EMPLOYER I.D. NO.                                                                                                                         PARMA ACCOUNT NUMBER                      FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           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
                                                                                                                                                                                                                                                                                                                                                                                                                            A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                            regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            FORM
CITY OF PARMA - DIVISION OF TAXATION EMPLOYER’S QUARTERLY RETURN OF TAX                                                                                                                                                                                                                                                                                                                                                                                                                         WITHHELD                                                                                                        PW-1
I certify that the information and statements contained herein, and in any schedules or exhibits attached are                                                                                                                                                                                                                                   Parma                                                        Employment Tax                                                                     Withheld this
true and correct.                                                                                                                                                                                                                                                                        1                                                      Quarter @ 2.5%
(SIGNED)                                                                                                                                                                                                DATE
                                                                                                                                                                                                                                                                                                                                                Plus                                            Resident Tax                                                                       Withheld this
TITLE                                                                                                                          FOR QUARTER ENDING                                                                                                            06-30-2023                  2                                               Quarter
                  (Pres. Treasurer, Partner, etc.)                                                                                                                                                                                                                                                                                              Less Amount Previously
FEDERAL EMPLOYER I.D. NO.                                                                                                                                              PARMA ACCOUNT NUMBER                                                                                              3                                                      Paid in for This Quarter
                                                                                                                                                                                                                                                                                                                                         Interest at 0.42% for Each Month or
                                                                                                                                                                                                                                                                                         4                                               Fraction Thereof for Late Payment
                                                                                                                                                                                                                                                                                                                                         Penalty of 50% of amount not paid plus $25.00
                                                                                                                                                                                                                                                                                         5                                               for each month late. Capped at $150.00
                                                                                                                                                                                                                                                                                                                                                Total (Include Interest
                                                                                                                                                                                                                                                                                         6                                                      and Penalty Due)
                                                                                                                                                                                                                                                                                                                   If no wages paid this Quarter mark NONE and return this form with explanation
                                                                                                                                                                                                                                                                                                                   MAKE CHECK PAYABLE                                                                                                                                                                                                                                                         FOR THE               YEAR
                                                                                                                                                                                                                                                                                                                   AND MAIL THIS FORM TO:
                                                                                                                                                                                                                                                                                         CITY OF PARMA DIV. OF TAX                                                                                                                                                                                                                                                                            2023Q2 
                                                                                                                                                                                                                                                                                         P.O. BOX 94734
                                                                                                                                                                                                                                                                                         CLEVELAND, OHIO 44101-4734
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              DUE ON        OR      BEFORE 
                                                                                                                                                                                                                                                                                         RETURN WITH PAYMENT                                                                                                                                                                                                                                                                                  0 /7 31/2023



- 4 -

Enlarge image
                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

2) Enter amount of residence tax withheld.

3) Enter amount of tax previously paid this quarter.

4) Enter interest at the rate of 0.42% per month for any late payment.

5) Enter penalty at the rate of 50% of the amount not paid on time plus $25.00 for each month late. Capped at $150.00.

6) Add total from line 1, 2, 4 and 5 then subtract line 3 and place total on line 6.

Signature - Sign and date return. A return is not considered filed until signed.

Due date - All filings are due by the 30th day following the end of the withholding period.

                                                                                           CONFIRM NAME, ADDRESS AND FEDERAL IDENTIFICATION NUMBER



- 5 -

Enlarge image
                                                                                                                                                                                                                               CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                                                       FORM PW-12
                                                                                                                                                                                                            FOR INCOME TAX                                           WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                      FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               IN THIS AREA.
                                                                                                                                                                                                                                                                     TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                                              DUE ON OR BEFORE                                                                     DOLLARS                                                                   CENTS
                                                                                                                                   JUL                                                                           08/1 /2025                                         3

FEDERAL EMPLOYER I.D. NO.                                                                                                                             PARMA ACCOUNT NUMBER                      FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         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
                                                                                                                                                                                                                                                                                                                                                                                                                                A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                                regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                               CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                                             FORM PW-12
                                                                                                                                                                                                            FOR INCOME TAX                                           WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                      FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         IN THIS AREA.
                                                                                                                                                                                                                                                                     TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                                  DUE ON OR BEFORE                                                                         DOLLARS                                                    CENTS
                                                                                                                               AUG                                                                          09/15/2023

FEDERAL EMPLOYER I.D. NO.                                                                                                          PARMA ACCOUNT NUMBER                                         FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               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
                                                                                                                                                                                                                                                                                                                                                                                                                                A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                                regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    FORM
CITY OF PARMA - DIVISION OF TAXATION EMPLOYER’S QUARTERLY RETURN OF TAX                                                                                                                                                                                                                                                                                                                                                                                                                             WITHHELD                                                                                                                                            PW-1
I certify that the information and statements contained herein, and in any schedules or exhibits attached are                                                                                                                                                                                                                                       Parma                                                        Employment Tax                                                                                   Withheld this
true and correct.                                                                                                                                                                                                                                                                                        1                                          Quarter @ 2.5%
(SIGNED)                                                                                                                                                                                                                   DATE
                                                                                                                                                                                                                                                                                                                                                    Plus                                            Resident Tax                                                                       Withheld this
TITLE                                                                                                                              FOR QUARTER ENDING                                                                                                                09-30-2023                          2                                   Quarter
                          (Pres. Treasurer, Partner, etc.)                                                                                                                                                                                                                                                                                          Less Amount Previously
FEDERAL EMPLOYER I.D. NO.                                                                                                                                                  PARMA ACCOUNT NUMBER                                                                                                          3                                          Paid in for This Quarter
                                                                                                                                                                                                                                                                                                                                             Interest at 0.42% for Each Month or
                                                                                                                                                                                                                                                                                                         4                                   Fraction Thereof for Late Payment
                                                                                                                                                                                                                                                                                                                                             Penalty of 50% of amount not paid plus $25.00
                                                                                                                                                                                                                                                                                                         5                                   for each month late. Capped at $150.00
                                                                                                                                                                                                                                                                                                                                                    Total (Include Interest
                                                                                                                                                                                                                                                                                                         6                                          and Penalty Due)
                                                                                                                                                                                                                                                                                                                       If no wages paid this Quarter mark NONE and return this form with explanation
                                                                                                                                                                                                                                                                                                                       MAKE CHECK PAYABLE                                                                                                                                                                                                                                                                                   FOR                     THE     YEAR
                                                                                                                                                                                                                                                                                                                       AND MAIL THIS FORM TO:
                                                                                                                                                                                                                                                                                                         CITY OF PARMA DIV. OF TAX                                                                                                                                                                                                                                                                                          2023Q3 
                                                                                                                                                                                                                                                                                                         P.O. BOX 94734
                                                                                                                                                                                                                                                                                                         CLEVELAND, OHIO 44101-4734                                                                                                                                                                                                                                                                                         DUE ON                  OR      BEFORE 
                                                                                                                                                                                                                                                                                                         RETURN WITH PAYMENT                                                                                                                                                                                                                                                                                                1 /0 31/2023



- 6 -

Enlarge image
                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

2) Enter amount of residence tax withheld.

3) Enter amount of tax previously paid this quarter.

4) Enter interest at the rate of 0.42% per month for any late payment.

5) Enter penalty at the rate of 50% of the amount not paid on time plus $25.00 for each month late. Capped at $150.00.

6) Add total from line 1, 2, 4 and 5 then subtract line 3 and place total on line 6.

Signature - Sign and date return. A return is not considered filed until signed.

Due date - All filings are due by the 30th day following the end of the withholding period.

                                                                                           CONFIRM NAME, ADDRESS AND FEDERAL IDENTIFICATION NUMBER



- 7 -

Enlarge image
                                                                                                                                                                                                                           CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                                                          FORM PW-12
                                                                                                                                                                                                        FOR INCOME TAX                                          WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                          FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              IN THIS AREA.
                                                                                                                                                                                                                                                                TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                                          DUE ON OR BEFORE                                                            DOLLARS                                                                               CENTS
                                                                                                                                   OCT                                                                       11/15/2023

FEDERAL EMPLOYER I.D. NO.                                                                                                                         PARMA ACCOUNT NUMBER                      FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        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
                                                                                                                                                                                                                                                                                                                                                                                                                               A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                               regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                           CITY OF PARMA - DIVISION OF TAXATION                                                                                                                                                                                                                                                                                                                                                                FORM PW-12
                                                                                                                                                                                                        FOR INCOME TAX                                          WITHHELD ON WAGES MONTHLY                                                                                                                                                                                                          FOR OFFICE USE ONLY. DO NOT WRITE
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          IN THIS AREA.
                                                                                                                                                                                                                                                                TOTAL TAXES WITHHELD
                                                                                                              FOR THE MONTH OF                                                              DUE ON OR BEFORE                                                                        DOLLARS                                                        CENTS
                                                                                                                               NOV                                                                      12/15/2023

FEDERAL EMPLOYER I.D. NO.                                                                                                              PARMA ACCOUNT NUMBER                                 FOR TAX YEAR

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    TAX RATE IS 2.5%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      TAX CREDIT OF 100% UP TO 2%
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              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
                                                                                                                                                                                                                                                                                                                                                                                                                               A late penalty of $25 per month or any fraction thereof
                                                                                                                                                                                                                                                                                                                                                                                                                               regardless of liability. Capped at $150.00 per return.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   FORM
CITY OF PARMA - DIVISION OF TAXATION EMPLOYER’S QUARTERLY RETURN OF TAX                                                                                                                                                                                                                                                                                                                                                                                                                            WITHHELD                                                                                                                                            PW-1
I certify that the information and statements contained herein, and in any schedules or exhibits attached are                                                                                                                                                                                                                                      Parma                                                        Employment Tax                                                                     Withheld this
true and correct.                                                                                                                                                                                                                                                                           1                                                      Quarter @ 2.5%
(SIGNED)                                                                                                                                                                                                               DATE
                                                                                                                                                                                                                                                                                                                                                   Plus                                            Resident Tax                                                                       Withheld this
TITLE                                                                                                                          FOR QUARTER ENDING                                                                                                               12-31-2023                  2                                               Quarter
                  (Pres. Treasurer, Partner, etc.)                                                                                                                                                                                                                                                                                                 Less Amount Previously
FEDERAL EMPLOYER I.D. NO.                                                                                                                                              PARMA ACCOUNT NUMBER                                                                                                 3                                                      Paid in for This Quarter
                                                                                                                                                                                                                                                                                                                                                   Interest at 0.42% for Each Month or
                                                                                                                                                                                                                                                                                            4                                                      Fraction Thereof for Late Payment
                                                                                                                                                                                                                                                                                                                                                   Penalty of 50% of amount not paid plus $25.00
                                                                                                                                                                                                                                                                                            5                                                      for each month late. Capped at $150.00
                                                                                                                                                                                                                                                                                                                                                   Total (Include Interest
                                                                                                                                                                                                                                                                                            6                                                      and Penalty Due)
                                                                                                                                                                                                                                                                                                                      If no wages paid this Quarter mark NONE and return this form with explanation
                                                                                                                                                                                                                                                                                                                      MAKE CHECK PAYABLE                                                                                                                                                                                                                                                                                   FOR           THE               YEAR
                                                                                                                                                                                                                                                                                                                      AND MAIL THIS FORM TO:
                                                                                                                                                                                                                                                                                            CITY OF PARMA DIV. OF TAX                                                                                                                                                                                                                                                                                                      2023Q4 
                                                                                                                                                                                                                                                                                            P.O. BOX 94734
                                                                                                                                                                                                                                                                                            CLEVELAND, OHIO 44101-4734
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           DUE ON                  OR      BEFORE 
                                                                                                                                                                                                                                                                                            RETURN WITH PAYMENT                                                                                                                                                                                                                                                                                                            01/31/2024



- 8 -

Enlarge image
                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

                                                                                                                                                  Instructions
1) Enter amount of employment tax withheld.

2) Enter amount of residence tax withheld.

3) Enter amount of tax previously paid this quarter.

4) Enter interest at the rate of 0.42% per month for any late payment.

5) Enter penalty at the rate of 50% of the amount not paid on time plus $25.00 for each month late. Capped at $150.00.

6) Add total from line 1, 2, 4 and 5 then subtract line 3 and place total on line 6.

Signature - Sign and date return. A return is not considered filed until signed.

Due date - All filings are due by the 30th day following the end of the withholding period.

                                                                                           CONFIRM NAME, ADDRESS AND FEDERAL IDENTIFICATION NUMBER






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