City of Brook Park Ohio 
                                     
                  IMPORTANT NEW FILING REQUIREMENT FOR YOUR WITHHOLDING ACCOUNT 
                                     
On October 20, 1998, Council of the City of Brook Park amended SECTION 1713.02 of the Codified 
Ordinance to mandate withholding tax payments by ELECTRONIC FUNDS TRANSFER.  
 
March 2010, the City of Brook Park launched the enhanced Tax Connect ACH-Debit payment system. 
All users of the prior system must migrate to the new mandatory platform by July 31, 2010. 
 
Please choose between two systems:  
 
1.) The Tax Connect ACH-Debit payment system allows you to program your transaction over our 
 web-site, or  
2.) The ACH credit approach allows your treasury department to initiate payment transfers along 
 with appropriate addendum information. (Specific TXP format and addendum record 
 requirements)  
 
If the preferred method is the Tax Connect ACH-Debit method, STOP NOW. Please  
complete the “Transmission Sheet” located on our website under Additional Brook Park forms, in 
the Employee Withholding Section. 
 
If the preferred method is the ACH-CREDIT approach, please check this method and provide the 
information below. Addenda specifications are located under “Additional Brook Park forms” in the 
Employee Withholding Section. You must contact the City of Brook Park to obtain bank account 
and routing numbers. The phone number is 216-433-1533.     
                  
                                    ACH Credit ______ 
 
CITY OF BROOK PARK TX ACCOUNT NUMBER ________________________ 
 
FEDERAL ID NUMBER _____________________________________________  
 
Company Name: _________________________________________________________  
 
Address: _______________________________________________________________  
 
               _______________________________________________________________ 
 
Contact Person: _________________________________________________________  
(Please Print)  
 
Phone Number: ____________________________ Fax Number: __________________  
 
Signature: ________________________________________ Date: ________________  
 
Information provided on this form is confidential and is used for City Income Tax purposes only.  
 
Return the enclosed enrollment form. Questions can be answered by calling (216) 433-1533 
between 9AM and 3:30PM.  
 
                                          PLEASE PRINT LEGIBLY                              EFTREG