REVISED 01-09-2020
FORM-INDIVIDUAL REGISTRATION.doc
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 2021
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 2021: $__________
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
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