CITY OF PARMA 

                      Division OF Taxation 
                                                                     6611 Ridge Rd. 
                                                                     Parma, Ohio 44129 
                     Phone (440) 885-8045 Fax (440) 885-8044 
                     E-mail to taxoffice@cityofparma-oh.gov 
                                                                      
                         Michael P. Mason Tax Commissioner 
                      
PARMA ACCOUNT NUMBER (office use) _______________________________________________ 
 
_   INDIVIDUAL 
_   JOINTLY (you may file jointly even if you filed individually for federal purpose) 
_   CORPORATION 
_   PARTNERSHIP 
 
NAME:__________________________________________SS# or FID#_________________________ 
 
NAME OF SPOUSE: _______________________________SS#________________________________ 
 
ADDRESS: ______________________________________ 
                     
                    ______________________________________ 
 
MOVE IN DATE: _________________________________ 
 
MOVE OUT DATE: _______________________________ 
 
PREVIOUS ADDRESS: ____________________________ 
 
                     _____________________________________ 
 
                     DECLARATION OF ESTIMATED TAX FOR YEAR 2023 
                     If you need any assistance, see our web site at www.cityofparma-oh.gov under tax rate  
                     and tax credit or contact the Parma Tax Department at 440-885-8045. 
 
 1)                  ESTIMATED TAX LIABILITY FOR 2023: $__________ 
 
 2)                  AMOUNT ENCLOSED WITH THIS APPLICATION: $__________ 
 
 MAKE CHECK PAYABLE TO: CITY OF PARMA DIVISION OF TAX 
  
 ______________________________________________________          __________ 
 SIGNATURE OF TAXPAYER                                                                         DATE 
  
 ______________________________________________________          __________ 
 SIGNATURE OF SPOUSE (if filing jointly)                                                   DATE 

                                                                                                            REVISED 12-09-2021 
                                                                                                    FORM-INDIVIDUAL REGISTRATION.doc