Form St 26 - Application For Cumulative Return Authority
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2S
O
Prescribed Form
TATE OF
HIO
ST 26
D
T
EPARTMENT OF
AXATION
A
C
R
A
PPLICATION FOR
UMULATIVE
ETURN
UTHORITY
Application is hereby made for Cumulative Return Authority for those retail establishments listed on reverse side.
It is agreed that if such authority is granted the applicant will file a tax return under the master vendor's license in
accordance with the prescribed method of filing as determined by the Tax Commissioner. Also, the tax return will be
supplemented by a detailed report of such data and information applicable to each individual establishment as the
Commissioner may require.
Employer Identification No.
Social Security No.
Federal Employer Identification Account Number
or Social Security Number
Ohio Corporation Charter Number (if applicable) _________________________________________________________
Legal Entity _____________________________________________________________________________________
(exactly as shown on vendor's license)
DBA (Trade Name) _______________________________________________________________________________
Street Address __________________________________________________________________________________
City ________________________________ State__________________________ Zip Code _________________
Mailing address, if different than shown on master vendor's license __________________________________________
_________________________________________________________________________________________________
If vendor is a corporation, show officers' names and addresses below.
President _______________________________________________________________________________________
name
street
city and state
Vice-Pres _______________________________________________________________________________________
name
street
city and state
Secy/Treas _____________________________________________________________________________________
street
city and state
name
___________________________________________
signature of vendor or officer of company
___________________________________________
title
date
___________________________________________
telephone number
Instructions
List on reverse side of this application in numerical sequence
application.
the license number and address of each retail establishment
to be covered by said master vendor's license.
If one of your licenses is to be cancelled, the termination date
must be immediately forwarded to Central Registration Unit,
All licenses listed must be the same ENTITY to be eligible for
P.O. Box 182215, Columbus, OH 43218-2215.
Cumulative Return Authority.
Until you receive notification of the effective date of the Cu-
When a new license is obtained from a County Auditor which
mulative Return Authority, you will continue to file sales tax
will be reporting under your Cumulative Authority, please indi-
returns for each location under your present method of report-
cate your master number on line number 10 of the license
ing.
Mail to: Ohio Department of Taxation, Central Registration Unit, P.O. Box 182215, Columbus, OH 43218-2215
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