Reconciliation Of City Income Tax Withheld And Transmittal Of Wage And Tax Statements - 2006

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CENTRAL COLLECTION AGENCY
RECONCILIATION OF CITY INCOME
DIVISION OF TAXATION
1.
Number of W-2 Wage & Tax Statements Attached . . . . . .
TAX WITHHELD AND
205 W SAINT CLAIR AVENUE
TRANSMITTAL OF WAGE AND TAX
CLEVELAND, OHIO 44113-1503
1a. Number of 1099 Statements Attached . . . . . . . . . . . . . . . .
(216) 664-2070
(800) 223-6317
STATEMENTS
2.
City Income Tax withheld and remitted
on Form CCA-102 for month or quarter ended:
Clear form
2006
FEDERAL IDENTIFICATION NO.
JAN
FEB
MAR
FILE CODE
YEAR END
EMP CODE
$
$
$
APR
MAY
JUN
$
$
$
JUL
AUG
SEP
$
$
$
BUSINESS NAME
OCT
NOV
DEC
$
$
$
ADDRESS
$
0.00
2a.
Total Employment Tax above . . . . . . . . . . . . . . . . . . . . . . .
$
2b.
Total Residence Tax (if any) above . . . . . . . . . . . . . . . . . .
CITY
STATE
ZIP CODE
0.00
$
2c.
Total Tax remitted to CCA . . . . . . . . . . . . . . . . . . . . . . . . .
EMPLOYMENT TAX DETAIL
RESIDENCE TAX DETAIL
3
4
5
6
7
8
9
10
11
12
13
14
15
EMPLOYMENT
CCA TAX WITHHELD
NET EMPLOYMENT
NO. OF
TAX
PRIOR YEAR
CCA RESIDENCE
RESIDENCE TAX
NET RESIDENCE
CITY
TAX REMITTED
CODE
AMOUNT DUE
EMPLOYEES
AND REPORTED ON W2
WAGES
RATES
CREDIT
TAX DUE
TAX WITHHELD
REMITTED
TAX DUE
$0.00
$0.00
$0.00
Ada
002
1.15%
$0.00
$0.00
$0.00
Andover
006
1.5%
$0.00
$0.00
$0.00
Antwerp
008
1%
$0.00
$0.00
$0.00
Barberton
025
2%
$0.00
$0.00
$0.00
Bradner
117
1%
$0.00
$0.00
$0.00
Bratenahl
120
1.5%
$0.00
$0.00
$0.00
Burton
176
1%
$0.00
$0.00
$0.00
Cairo
177
1%
$0.00
$0.00
$0.00
Chardon
185
2%
$0.00
$0.00
$0.00
Cleveland
200
2%
$0.00
$0.00
$0.00
Creston
238
1%
$0.00
$0.00
$0.00
Cridersville
239
1%
$0.00
$0.00
$0.00
Elida
276
.75%
$0.00
$0.00
$0.00
Gates Mills
330
1%
$0.00
$0.00
$0.00
Geneva-on-the-Lake
347
1%
$0.00
$0.00
$0.00
Grand Rapids
356
1%
$0.00
$0.00
$0.00
Grand River
357
2%
$0.00
$0.00
$0.00
Highland Hills
371
2.5%
$0.00
$0.00
$0.00
Liberty Center
408
1%
$0.00
$0.00
$0.00
Linndale
420
2%
$0.00
$0.00
$0.00
Madison Village
455
1%
$0.00
$0.00
$0.00
Medina
487
1.25%
$0.00
$0.00
$0.00
Mentor
490
2%
$0.00
$0.00
$0.00
Mentor-on-the-Lake
495
2%
$0.00
$0.00
$0.00
Metamora
497
1%
$0.00
$0.00
$0.00
Middlefield
510
1%
$0.00
$0.00
$0.00
Munroe Falls
533
2%
$0.00
$0.00
$0.00
New Franklin
537
1%
$0.00
$0.00
$0.00
Northfield Village
545
2%
$0.00
$0.00
$0.00
North Baltimore
548
1%
$0.00
$0.00
$0.00
North Perry Village
555
1%
$0.00
$0.00
$0.00
North Randall
560
2.5%
$0.00
$0.00
$0.00
Norton
575
2%
$0.00
$0.00
$0.00
Oakwood (Paulding County)
585
1%
$0.00
$0.00
$0.00
Orwell
605
1%
$0.00
$0.00
$0.00
Painesville
610
2%
$0.00
$0.00
$0.00
Paulding
640
.5%
$0.00
$0.00
$0.00
Peninsula
645
1%
$0.00
$0.00
$0.00
Perry
655
1%
$0.00
$0.00
$0.00
Rock Creek
698
1%
$0.00
$0.00
$0.00
Rocky River
700
1.5%
$0.00
$0.00
$0.00
Russells Point
703
1%
$0.00
$0.00
$0.00
Seville
722
1%
$0.00
$0.00
$0.00
South Russell
772
1%
$0.00
$0.00
$0.00
Timberlake
788
1%
$0.00
$0.00
$0.00
Wadsworth
815
1.3%
$0.00
$0.00
$0.00
Warrensville Hts
830
2%
$0.00
$0.00
$0.00
Willoughby
870
2%
$0.00
$0.00
$0.00
Willoughby Hills
880
1.5%
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
16
TOTALS
$0.00
I DECLARE THAT THIS RETURN, TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS TRUE, CORRECT AND COMPLETE.
17
Net Tax Due (Add Column 12 total and Column 15 total)
x
18
SIGNATURE
DATE
If Net Tax Due is a negative figure,
indicate overpayment preference . . . .
CREDIT
REFUND
TITLE (OWNER, PRESIDENT, PARTNER, ETC.)
PHONE NUMBER

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