Fill - Free fillable Form 2020: CCA DIVISION OF TAXATION (Fairfield County) PDF form

CCA – DIVISION OF TAXATION

205 W SAINT CLAIR AVE

CLEVELAND OH 44113-1503

216.664.2070 800.223.6317

www.ccatax.ci.cleveland.oh.us

2020

ANNUAL RECONCILIATION

ANNUAL RECONCILIATION (W-3) OF MUNICIPAL INCOME TAX WITHHELD

AND TRANSMITTAL OF WAGE AND TAX STATEMENTS (W-2)

Read instructions for lines 6 and 13 to

ensure Employment wages and Residence

withholding are reported correctly.

GENERAL INSTRUCTIONS

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SPECIFIC INSTRUCTIONS

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KEEP A COPY FOR YOUR RECORDS.

REVENUE SHARING JEDD/JEDZ

NAME CODE RATE NAME CODE RATE NAME CODE RATE

%XWOHU&R$QQH[   ,;&HQWHU   1%DOWLPRUH  

&OD\WRQ&OD\   *DWHZD\   3UDLULH2EHW]  

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+LJK+LOOV&OHYH   +DPLOWRQ)DLU¿HOG,,  

(PHUDOG3DUN   +DPLOWRQ)DLU¿HOG,,,  

CCA – DIVISION OF TAXATION

205 W SAINT CLAIR AVE

CLEVELAND OH 44113-1503

216.216.664.2070664.2070

www.ccatax.ci.cleveland.oh.us

RECONCILIATION OF MUNICIPAL

INCOME TAX WITHHELD AND

TRANSMITTAL OF WAGE AND TAX

STATEMENTS

FILE CODE YEAR END FEDERAL IDENTIFICATION NO. EMP CODE

2020

BUSINESS NAME

ADDRESS

CITY STATE ZIP CODE

1. Number of W-2 Wage & Tax Statements Attached . . . . . . . .

1a. Number of 1099 Statements Attached . . . . . . . . . . . . . . . . . .

2. City Income Tax withheld and remitted on Form CCA-102 for month or quarter ended:

JAN

FEB

MAR

APR

MAY

JUN

JUL

AUG

SEP

OCT

NOV

DEC

2a. Total Employment Tax above . . . . . . . . . . . . . . . . . . . . . . . . . $

2b. Total Residence Tax (if any) above . . . . . . . . . . . . . . . . . . . . .$

2c. Total Tax remitted to CCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . $

EMPLOYMENT TAX – See number 6 of instructions.

RESIDENCE TAX

56 78 9 10 11 12 13 14 15

MUNICIPALITY

CODE

NO. OF

EMPLOYEES

EMPLOYMENT

WAGES

TAX

AMOUNT DUE

CCA TAX WITHHELD

AND REPORTED ON W2

TAX REMITTED

PRIOR YEAR

CREDIT

NET EMPLOYMENT

TAX DUE

CCA RESIDENCE

TAX WITHHELD

RESIDENCE TAX

REMITTED

NET RESIDENCE

TAX DUE

Burton 176 1.00%

Clayton 199 1.50%

Cleveland 200 2.50%

Dresden 260 1.00%

Elida 276 .75%

Geneva-on-the-Lake

347 1.50%

Germantown 348 1.50%

Grand Rapids 356 1.00%

Grand River 357 2.00%

Hamilton 365 2.00%

Highland Hills 371 2.50%

Linndale 420 2.00%

0DUEOH&OLႇ 459 2.00%

Mentor-on-the-Lake

495 2.00%

Montpelier 517 1.60%

Munroe Falls 533 2.25%

New Carlisle 534 1.50%

New Madison 538 1.00%

New Miami 539 1.75%

New Paris 541 1.00%

North Baltimore 548

1.00%

North Randall 560

2.75%

Oakwood

(Paulding County)

585 1.00%

Obetz 587 2.50%

Orwell 605 1.50%

Paulding* 640

1.05%

Phillipsburg 659 1.50%

Riverside 680 1.50%

Rock Creek 698 1.00%

Rushsylvania 702 1.00%

Russells Point 703 1.00%

Seville 722 1.00%

Shreve 755 1.00%

South Russell 772 1.25%

Union 797 1.50%

:D\QHV¿HOG 833 1.00%

West Alexandria 834 1.00%

West Milton 835 1.50%

Revenue Sharing JEDD/JEDZ - complete below

TOTALS

I DECLARE THAT THIS RETURN, TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS TRUE AND COMPLETE.

SIGNATURE

TITLE (OWNER, PRESIDENT, PARTNER, ETC.)

DATE

PHONE NUMBER

CREDIT

Net Tax Due (Add Column 12 total and Column 15 total)

Do you authorize your preparer to contact us regarding this return? YES

EFUND

If Net Tax Due is a negative, indicate

overpayment preference. . . .

Signature of Person or Firm Preparing the Return (Date)

Address of Preparer

3DXOGLQJFKDQJHGWKHWD[UDWHIURPWRHႇHFWLYH7KHDYHUDJHUDWHLV

Clear form

0.00

$0.00

Select JEDD/JEDZ

0.00%

$0.00

Select JEDD/JEDZ

0.00%

$0.00

Select JEDD/JEDZ

0.00%

$0.00

0.00

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Form 2020: CCA DIVISION OF TAXATION (Fairfield County)

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