Business Income Tax Return - City Of Miamisburg Income Tax Department Page 2

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ACCOUNT INFORMATION UPDATE
Complete all questions fully. The information below will be used to update information currently on file.
BUSINESS NAME ______________________________________________________________________
NATURE OF BUSINESS
________________________________________________________________
MIAMISBURG LOCATION ________________________________________________________________
HOME OFFICE LOCATION _______________________________________________________________
HOME OFFICE TELEPHONE_______________________________CONTACT ______________________
MAILING ADDRESS_____________________________________________________________________
_____________________________________________________________________________________
FEDERAL IDENTIFICATION NUMBER ______________________________________________________
DATE BUSINESS BEGAN IN MIAMISBURG __________________________________________________
TYPE OF ENTITY (Corp, S Corp, Partnership, Assoc., etc.) _____________________________________
ACCOUNTING PERIOD _______________________________Calendar Year
_______________________Fiscal year (month ending_____________)
NAME AND ADDRESS OF PARTY IN CHARGE OF BOOKS ____________________________________
_____________________________________________________________________________________
Please list Payroll Service if applicable ______________________________________________________
Do You Subcontract Labor To Perform Work In Miamisburg?_____________ If YES, copies of 1099's
issued must be submitted to this office within 2 months after end of tax year.
Do You Have Employees Working In Miamisburg?_____________If YES, copies of W-2 forms must be
submitted within two months after end of tax year.
Income Tax Department
10 N. First St. • Miamisburg, Ohio 45342
937-847-6462 • FAX 937-847-6470

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