Reset Form
ST 26
Rev. 2/07
Application for
07100100
Cumulative Return Authority
Vendor's license number
Application is hereby made for cumulative return authority for those retail establishments listed on the next page.
It is agreed that if such authority is granted the applicant will file a tax return under the master vendor’s license in accordance
with the prescribed method of filing as determined by the tax commissioner. The tax return will be supplemented by a detailed
report of such data and information applicable to each individual retail establishment as the commissioner may require.
Please print.
Federal employer identification no.
Social Security no.
Ohio corporate charter no.
If you are a foreign corporation, give Ohio certificate number
1. Check type of ownership: (10) Sole owner
(20) Partnership
(30) Corporation
(40) Association
(50) LLC
(60) Fiduciary
(70) LLP
(80) LTD
(100) Business trust
2. Legal name
3. Trade name or DBA
4. Primary address
(Home/office address of corporation, sole owner or partnership)
City
State
ZIP
(Home/office phone no.)
(Home/office fax no.)
5. Mailing address
(If different from above)
City
State
ZIP
6. If you operate as a corporation or partnership, list appropriate names, addresses and social security numbers below.
President/Partner
Name
Street
City
State
ZIP
Social Security no.
Vice-Pres/Partner
Name
Street
City
State
ZIP
Social Security no.
Secy/Treas/Partner
Name
Street
City
State
ZIP
Social Security no.
Signature of vendor or officer of company
Title
Date
Instructions
List on the next page of this application, in numerical sequence,
master number on the line indicated on the license application.
the license number and address of each retail establishment to
Until you receive notification of the effective date of the cumula-
be covered by master vendor's license.
tive return authority, you will continue to file sales tax returns for
each location under your present method of reporting.
All licenses listed must be under the same entity number to be
eligible for cumulative return authority.
If one of your licenses is to be cancelled, the date of cancellation
must be immediately forwarded to Registration Unit, P.O. Box
When a new license that will be reported under your cumulative
182215, Columbus, OH 43218-2215. Phone: (888) 405-4089.
authority is obtained from a county auditor, please write your
Mail to: Ohio Department of Taxation, Registration Unit, P.O. Box 182215, Columbus, OH 43218-2215.