Business And Professional Questionnaire Template - City Of Reading, Ohio Income Tax Bureau

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City of Reading, Ohio
Melvin T. Gertz
TREASURER
INCOME TAX BUREAU
1000 MARKET STREET
(513) 733-0300
READING, OHIO 45215-3283
FAX (513) 842-1016
Account # 3 - _______________ (City will assign)
BUSINESS AND PROFESSIONAL QUESTIONNAIRE
1. Name of Business ________________________________________________________________
Federal ID Number_____________ (If Corporation) Social Security Number __________________
2. Name of Officer(s)(If Corporation) ___________________________________________________
3. Business Address (Reading) _______________________________________________________
a. Is Reading address:
Home Office
Branch Office
b. Do you own the Reading property where your business is located?
Yes
No
c. If No, give name and address of landlord: ________________________________________
__________________________________________________________________________
4. Mailing Address (If Different) _______________________________________________________
5. Telephone (___)__________ Fax (___) __________
6. Opening Date of Business (in Reading) _____________________________________________
TYPE OF ORGANIZATION:
Individual Proprietor
Partnership
Corporation
LLC
Non-Profit
If a Partnership, Association, or other Unincorporated Joint Business Venture, indicate how the
Reading Income Tax Return, based upon the net profit, will be filed and paid:
In Full By the Business
Separately by Individual Members
If a Corporation or Partnership, give name(s) and Address of Officers or Partners:
__________________________________________________________________________________
__________________________________________________________________________________
7. Number of Employees at the Reading Address: _______________
8. Does Your Company Lease it’s Employees?
Yes
No
If Yes, Name and Address of Company ______________________________________________
______________________________________________________________________________
9. Business Accounting Period
Calendar Year
Fiscal Year Ending ________________
10. Nature of Business ______________________________________________________________
11. Do You have net profits attributable to Reading?
Yes
No
12. Do you Operate more than one Business in Reading?
Yes
No
If Yes, give Name and Address of Business: __________
______________________________
_______________________
____________
Signature
Title
Date

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