Form Cw-1 - Employer'S Municipal Tax Withholding Statement

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City of Cuyahoga Falls
Employer’s Municipal Tax Withholding Statement
Division of Taxation
Form
FED ID #
Period
Due Date
CW-1
P.O. Box 361
Cuyahoga Falls, Oh 44222-0361
1. Total wages subject to Cuyahoga Falls withholding tax........$ ____________
2. Total payroll tax withheld for the period (line 1 x 2.0%) ........$ ____________
3. Adjustments for prior periods ................................................$ ____________
4. Penalty / Interest ..................................................................$ ____________
5. Amount due (total, lines 2, 3 and 4) ......................................$ ____________
I declare that this return has been examined by me and to the best of my
knowledge and belief is a true and correct return made in good faith
pursuant to City of Cuyahoga Falls Income Tax Ordinance and Rules
and Regulations.
_____________________________________________________________
Please return this form with remittance CHECK #______
Signature and Title
Date
Make check payable to City of Cuyahoga Falls

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