CITY OF PARMA ‐ DIVISION OF TAXATION
6611 RIDGE ROAD                            MON ‐ FRI                                    PHONE: (440) 885 8056 
PARMA, OHIO                                8:30 AM TO 4:30 PM                           FAX:   (440) 885‐8044

NAME
DBA
ADDRESS

                                    Reconciliation of Parma Income Tax WITHHELD From Wages
                                                     Tax Year 2022

EMPLOYER'S FEDERAL ID#                                           PARMA ACCOUNT #
                                                                 3. Total Parma Income Tax Withheld During Year (FORM PW‐1)
                                                                                                              Parma                           Parma
DO NOT FAIL TO FURNISH EMPLOYEE'S ADDRESS ON W‐2'S                                                            Employment                   Residence
                                                                                                              Tax @2.5%                       Tax
1. Total number of employees as represented by                   Quarter ended March 31                      $
Forms W‐2 Submitted herewith                                     Quarter ended June 30                       $
2. Total gross employment Parma wages paid                       Quarter ended Sept. 30  $
during this year                        $                        Quarter ended Dec. 31                       $
3. Total Parma Income Tax Withheld from                          4. TOTAL                                    $
wages during year shown by employee's                                                                         (a)                             (b)
statement (Form w‐2)                    $                        5. Grand Total {(4a Total + (4b) total}                                  $
Please check type of Withholding                                 6. Difference between lines 3 & 5
       Parma employment tax only                                                        ( Instruction Below)                              $
       Parma employment and residence tax                        * If line 6 indicates a balance due, the amount thereof should 
       Parma residence tax only                                  accompany this return; if line 6 indicates an overpayment of $10.00 
                                                                 or more, it will be applied on the 2021 withholding tax unless  the 
If any of the above information is incorrect or has              refund box below is checked and a signature provided.
changed, please correct below. I.E. (name change,
fid# change, business closed, ect.)                                                     REFUND

                                                                 Authorized Signature
                                                     INSTRUCTIONS
The original of this reconciliation form must be filed with the COMMISSIONER OF TAXATION, CITY OF PARMA, 6611 RIDGE RD., PARMA
OH 44129, on or before the last day of February 2023 unless written request for extension has been made to and granted (in writing) by 
the Commissioner This form must accompanied by copies of employee's statements (Form w‐2) or optional form showing: (1) name, 
address, and city of residence of employee: (2) Social security number: (3) gross earnings paid before any payroll deductions: (4) amount 
of PARMA and other city income tax withheld: and (5) name, address and federal identification number (FID) of employer.  An adding 
machine tap, listing the amount of Parma Income tax withheld as indicated by the individual employee's statements, should be attached thereto.

                     RETURN THIS COPY WITH W2 FORMS AND ANY REQUIRED PAYMENT TO:
                                                    CITY OF PARMA ‐ DIVIOSION OF TAXATION
                                                     6611 RIDGEROAD
                                                     PARMA, OH 44129

                                        TAX DEPARTMENT COPY  TO BE FILED