Business Questionnaire Form
ADVERTISEMENT
1
2*
*
*
BUSINESS QUESTIONNAIRE
*
*
*
VILLAGE OF MANTUA - INCOME TAX DIVISION
P.O. BOX 775
MANTUA, OHIO 44255
Date Issued_______________________
Date received by Mantua Village______________________
Please complete and return this questionnaire promptly to the Village of Mantua Income Tax Dept.
Nature of Business__________________________________
Taxable Year ______________________________________
FEIN#___________________
1. a.
Trade Name______________________________________________________________
Address_______________________________________________Zip Code __________
b. Nature of Business________________________________________________________
c. Date Business started in Mantua Village_______________________________________
d. Do you now have one or more employees __________ Do you expect to have employees
in the near future___________
e. Type of ownership: Individual _____ Partnership _____ Corporation _____ Trust _____
Estate _____Small Business Corporation _____Non Profit _____
Other (Specify) ________________________
f.
Accounting Period used for Federal Income Tax Purposes: Calendar Year ending
December 31, ________ Fiscal Year ending ________ Not yet determined ________
2. a.
Who prepares your Financial Statements and Federal Income Tax Returns?
Name ___________________________________ Telephone No. __________________
Address __________________________________________ Zip Code ______________
b.
In the conduct of your business, do you employ anyone who classifies themselves as
Sub-contractors? __________________________
c.
Does the business occupy real property in Mantua Village as tenants rented from others? ______
To whom do you pay the rent?___________________________________________________________
d.
Do you rent any part of your property for which you are paid rent? _________
Your tenant’s name and Address: ______________________________________________
e.
______________________________________________________________________
3. a. How was the business acquired:
Purchased,
Started New,
Incorporated,
Reorganized:
(State which one applies) __________________________________________________
b.
If local business is a branch, give name and address of Parent Company:
Name: _________________________________________________________________
Address:________________________________________________________________
4.
a. Address to which tax returns are to be mailed: If all forms go to the same address, complete left side only.
Name ___________________________ Name _____________________________
Care of __________________________ Care of ____________________________
Street ___________________________ Street _____________________________
City ___________State____ Zip_______
City ___________State____ Zip________
OWNER’S NAME AND ADDRESS
5.
a. Name: _________________________________________________________________
Home Address __________________________ Home Telephone ___________________
City _________________________________State ____________Zip Code ___________
(COMPLETE QUESTIONS ON REVERSE SIDE ALSO)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial