Form Ph-2 - Income Tax Registration

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CITY OF PORT HURON
PH-2
(Revised 12/07)
INCOME TAX REGISTRATION
1. Federal employer identification number (FEIN)
2.
Type of Business Ownership
(check one only)
Individual owner
3. Complete company name (include if applicable, Corp., Inc., P.C., etc.)
Owner's full name
4. Mailing address (this is the address where forms and correspondence will be mailed)
Owner's social security number
Partnership
Subchapter S Corp.
5. Withholding address (if you want withholding forms sent to a different address)
Corporation
Limited Liability Co.
Other - explain:
List all locations of your business in the City of Port Huron
(attach a separate sheet if necessary)
If you have no business location in the city, state "None"
6A. Business name in Port Huron (DBA)
Approximate number of employees
Address in Port Huron (number and street)
6B. Business name in Port Huron (DBA)
Approximate number of employees
Address in Port Huron (number and street)
6C. Business name in Port Huron (DBA)
Approximate number of employees
Address in Port Huron (number and street)
7. Briefly describe your business activity
If no, give month of closing
8. Do you close your tax books on December 31?
No
Yes
If yes, previous owners name
Previous owners FEIN (if known)
9. Was this business previously
operated by another employer?
No
Yes
Name
Telephone number & area code
If we have questions about this form who should we call?
Type or print the name of owner or officer responsible for filing tax returns
Title
Signature
Date
Questions? call (810) 984-9741
Return to: Income Tax Division, 100 McMorran Boulevard, Port Huron, MI 48060

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