Business Account Application Form - City Of Pickerington

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BUSINESS ACCOUNT
CITY OF PICKERINGTON
APPLICATION
INCOME TAX DIVISION
100 LOCKVILLE RD
(MANDATORY REGISTRATION
PICKERINGTON OH 43147
ACCORDING TO ORDINANCE
PHONE: (614) 837-4116 FAX: (614) 833-2201
SECTION 882.21)
BUSINESS NAME:_________________________________________________________________
MAILING ADDRESS:_______________________________________________________________
_______________________________________________________________
CHECK ONE:
SOLE PROPRIETORSHIP
CORPORATION
PARTNERSHIP
OTHER:____________________________ PICKERINGTON START DATE:________________
BUSINESS LOCATION:_____________________________________________________________
HOME OFFICE ADDRESS:__________________________________________________________
(
IF DIFFERENT FROM MAILING ADDRESS)
LOCAL PHONE:______________________ HOME OFFICE PHONE:______________________
NATURE OF BUSINESS:____________________________________________________________
CALENDAR YEAR
FISCAL YEAR ENDING______________ FED ID #______________
Please check items that apply:
BUSINESS LOCATED IN PICKERINGTON
BUSINESS CONDUCTED WITHIN PICKERINGTON
PICKERINGTON COURTESY WITHHOLDING ONLY
PICKERINGTON WITHHOLDING FOR EMPLOYEES WORKING IN CITY
SUBCONTRACTOR
(
IF YOU WILL BE SUBCONTRACTING WORK IN THE CITY, YOU MUST ATTACH A LIST OF NAMES, MAILING
ADDRESSES AND NATURE OF WORK FOR TAX DEPT. NOTIFICATION OF LIABILITY.)
: _____________________________________
RESPONDENT’S SIGNATURE
: _______________________________________________
PRINTED NAME
TITLE:
__________________________________________________________________________________

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