Business Questionaire Template - Division Of Taxation, Village Of Whitehouse printable pdf download

Business Questionaire Template - Division Of Taxation, Village Of Whitehouse

PLEASE RETURN WITHIN TEN DAYS BY FACSIMILE OR BY US MAIL

Division of Taxation, Village of Whitehouse, P.O. Box 2476, Whitehouse OH 43571

Phone: (419) 877-5383 Fax: (419) 877-5635

Website:

Email:

The information requested on this form is essential for completing our records and is

held in strict confidence. Whitehouse Village income tax rates are 1 ½% for payroll

withholding and net profit taxes.

Business name:

Trade name/DBA:

Mailing Address:

Physical Address:

City:

State:

Zip Code:

Phone Number:

Fax:

Contact Person:

Title:

Federal I.D. number:

Social Security number if filing a Federal Schedule C:

Fiscal year end: ____________________

Check classification of business: LLC or LLP

Sub S

Corporation _____

Partnership

Proprietorship

Other (describe)

List name and address of owners/officers:

Check the reason for the payroll: Work performed inside city limits _____ Courtesy for

Whitehouse resident(s) _____

Starting date of Whitehouse activities_______________ If temporary, anticipated

ending date ______________

Type of work performed:

Will you have sub-contractors? _____ If yes, please provide a list of their names and

addresses (attach pages as needed)

Business Questionaire Template - Division Of Taxation, Village Of Whitehouse