Form St3-C - Update Information
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1I
ST3-C
NSTRUCTIONS FOR
If the business is sold or discontinued, you must cancel your vendor’s license. If the type of ownership changes, you must
cancel your vendor’s license and obtain a new one. Regular vendor’s licenses (account numbers beginning 01 through 88) are
obtained from the County Auditor’s office in the county in which your business is located. The Ohio Depatment of Taxation issues
all other sales and use tax licenses. To cancel your vendor’s license, you must file a final return and you must indicate your last day
of business in the boxes provided on the return. The final return is due 15 days after the last day of business.
Again, if any of the changes in Section B of this form affect your Corporate, Employer Withholding or School District Withholding
accounts, please check “yes” or “no” on the front of this form.
C
I
ORPORATE
NFORMATION
If your business is incorporated or a partnership, please provide the Ohio Department of Taxation with the following:
President/Partner______________________________________________________________________________________
Name
Street
City/State/Zip
Social Security Number
Vice-Pres/Partner______________________________________________________________________________________
Name
Street
City/State/Zip
Social Security Number
Secy/Treas/Partner____________________________________________________________________________________
Name
Street
City/State/Zip
Social Security Number
please detach here
ST3-C
O
D
O
T
HIO
EPARTMENT
F
AXATION
Rev. 10/03
PO Box 182215, Columbus, OH 43218-2215
V
’
L
/A
N
ENDOR
S
ICENSE
CCOUNT
UMBER
Update Information
If corrections are necessary, complete Form ST3-C per
Please review your current business information in Area “A.”
instructions provided on the form, and enter the corrected information in Area “B.”
A: Current Information
B: New Information
S
S
N
E
I
N
E
I
N
S
S
N
OCIAL
ECURITY
UMBER
MPLOYER
DENTIFICATION
UMBER
MPLOYER
DENTIFICATION
UMBER
OCIAL
ECURITY
UMBER
O
C
L
N
NAICS C
O
C
L
N
NAICS C
HIO
HARTER OR
ICENSE
UMBER
ODE
HIO
HARTER OR
ICENSE
UMBER
ODE
Change of Ownership:
YES
NO
If yes, see reverse side.
Name and Mailing Address:
Legal Name Only __________________________________________________
DBA Only:_________________________________________________________
Mailing Address___________________________________________________
__________________________________________________________________
Name and Business Location:
Should this change also be made to your:
YES
NO
1) Corporate Account
2) Employer Withholding Account
3) School District Withholding Account
Send business location corrections to: Ohio Department of Taxation, Taxpayer Support
Services Division, PO Box 182215, Columbus, OH 43218-2215
See reverse side for instructions.
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Parent category: Financial