Business And Employer Registration Form Page 2

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CITY OF PARMA
INCOME TAX DIVISION
Phone: 440-885-8045
14) Name and address of previous owner
CORPORATIONS
List Names, Social Security No's and home addresses of Fiscal Officers and Statutory Agent.
1)
2)
3)
4) Statutory Agent _________________________________
PARTNERSHIPS, PARTNERS / S CORPS, SHAREHOLDERS
List Names, Social Security No's and home addresses of Partners / Shareholders.
1)
2)
3)
4)
Person or accounting firm that normally prepares your tax forms.
Name
Address
Phone
Signature
Date ______________
Mail to: The City of Parma; Division of Taxation; 6611 Ridge Road; Parma, Ohio 44129
You may also Fax to 440-885-8044 or E-mail to

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