Form S-1 - Business And Professional Questionnaire printable pdf download

CITY OF DOVER,

OHIO MUNICIPAL BUILDING

BUSINESS AND PROFESSIONAL QUESTIONNAIRE

INCOME TAX DEPARTMENT

For the purpose of our records, with regard to DOVER Income Tax, please complete and return this

Questionnaire and return in a self-addressed envelope.

1. Are you or the business entity a resident of Dover? ______Yes ______No

Fed ID# _____________

Moved into Dover on___________________________ from ____________________________________

Local name and address as used for business purposes:

Trade Name__________________________________________________________________________

Location _____________________________________________________________________________

2. Nature of business conducted __________________________________________________________

3. Accounting period used for Federal Income Tax purposes:___ Calendar Year ending December 31

(Check which - if Fiscal Year, write in ending date)

___ El Fiscal Year ending ___________

4. Do you now employ one or more persons? _______________

5. Do you expect to have employees in the future? ___________

Note: You may have persons in your employ who are subject to DOVER Income Tax, but from whom you

are not required to withhold the Tax. For example, complete employer/employee relationships do not exist,

as in the case of contract labor, independent commission sales brokers, etc. The next question covers such

cases.

6. Do you at anytime during the year employ persons WHO ARE SUBJECT TO DOVER INCOME TAX and

from whom you do NOT withhold the City Income Tax?_________ ATTACH LIST OF SUCH PERSONS,

showing names and addresses.

7. Type of ownership - check which:

___Individual Proprietorship;

___Corporation; ___Partnership; ___Non-profit Corporation.

8. If partnership, indicate HOW the DOVER Income Tax Return, upon the net profit, will be filed and paid.

Check which:

(a)___In full by the business; or (b) ___Separately by the individual partners on proportionate shares.

9. Address to which tax forms are to be mailed:

Send business Net Profit Tax Return form to:

Send Withholding Report Tax form to:

Name _______________________________________

Care of______________________________________

Street Address_______________________________

City____________________ State ____ ZIP________

NOTE: If all forms go to same address, complete left side only, and write "Same" across face of right side.

(COMPLETE QUESTIONS ON NEXT PAGE ALSO)

Form S-1

Form S-1 - Business And Professional Questionnaire