City Of Kettering -Business Income Tax Registration Form
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1BUSINESS INCOME TAX
CITY OF KETTERING • INCOME TAX DIVISION
P.O. Box 293100 • Kettering, OH 45429
REGISTRATION
Phone: 937.296.2502 • Fax: 937.296.3242
Due Date:
Kettering Account Number:
Please complete this income tax questionnaire and return it to our office by the due date stated above. You may mail or fax your completed
questionnaire to our office. Forms and additional information may be obtained by visiting our website. Please note: If you are a sole
proprietor or a single-member LLC, you will need to fill out our Individual Income Tax Questionnaire in lieu of this form.
_____ Partnership
_____ Corporation
_____ S-Corporation
_____ Nonprofit
_____ LLC
1. Type of Organization:
_____ Corporation
_____ S-Corporation
_____ Partnership
If LLC, please indicate how you will be filing:
2.
Business Name
Federal ID #
3. Nature of Business or Trade
Telephone
4. Local Business Address
5. Mailing Address (If different from above address)
6. Email Address
7
Date activity started in City of Kettering _____/_____/______
Date activity terminated in City of Kettering _____/_____/_____
Accounting Period:
Calendar Year ___________
or Fiscal Year Ending _____/_____/______
8. Do you have employees working in the City of Kettering? _____ No _____ Yes
If yes, when did your employee(s) start working in the City of Kettering? _____/_____/______
If no, will you have employees working in the City of Kettering in the future? _____ No _____ Yes
Date employees will begin _____/_____/______
9. Approximate number of employees subject to City of Kettering Income Tax:
10. Are you withholding only as a courtesy to employees who reside in the City of Kettering? _____ No _____ Yes
If yes, what date did you first start withholding City of Kettering tax? _____/_____/______
11. Are you using a payroll company? _____No _____ Yes; If yes, please provide your payroll processor: ___________________________
12. Do you use Subcontractors? _____ No _____ Yes
Please note:
All taxpayers who report payments to individuals (who are not employees) on Form 1099-Misc. for services
performed shall also report payments to the City when the services were performed in Kettering or when the payments are
th
made to a Kettering resident.
The information shall be filed annually with The City of Kettering on or before February 28
.
13. Does your business include any rental activity? _____ No _____ Yes
If yes, please list property addresses and date acquired (on back or separate attachment).
14. If you are a Partnership, S-Corporation or other unincorporated joint venture, list names, addresses and social security or
federal I.D. numbers of all partners, associates, or members in venture (attach additional sheets if necessary).
15. If you have filed City of Kettering income tax returns in prior years, please provide name and address used and year(s) filed:
16. If there has been a change of ownership, please give name and address of former owner:
Print Name:
Signature:
Title:
Phone
Date _____/_____/______
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Parent category: Financial