Form Cw-1 - Employer'S Municipal Tax Withholding Statement - City Of Cuyahoga Falls
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16EMPLOYER’S MUNICIPAL TAX WITHHOLDING STATEMENT • FORM CW-1
City of Cuyahoga Falls
FED ID#
PERIOD
DUE DATE
Income Tax Division
2310 2nd Street
January
February 20, 2013
Cuyahoga, Falls, OH 44221
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 the City of Cuyahoga Falls Income Tax
Please return this form with
Ordinance and Rules and Regulations.
remittance CHECK #
Make check payable to:
City of Cuyahoga Falls
Signature and Title
Date
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