Fillable Business Income Tax Questionnaire Form printable pdf download

Business Income Tax Questionnaire Form

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CITY OF TROY

TROY TAX RATE 1.75%

DEPARTMENT OF TAXATION

100 SOUTH MARKET ST

TROY, OHIO 45373

(937)339-3861

FAX (937) 440-1352

THIS QUESTIONNAIRE IS REQUIRED TO BE FILED WITH OUR OFFICE

On what date did you begin working in Troy? ____/____/____

The purpose of this questionnaire is to determine your liability to the City of Troy

and also provides the information necessary in opening the proper tax accounts

Does the Company have employees? ____Yes ____No

for your business.

Are you a non-resident employer withholding for a

for a resident employee only? (Employee who resides in Troy

Correct Business Name _________________________________________

but does not work in Troy) ____yes ____no

Please provide the beginning date of withholding for a resident

and Address_________________________________________

employee only:

____/____/____

__________________________________________

If the company does have employees working in Troy, when

__________________________________________

did they begin or will begin working in Troy?

(____)______-_________

Phone Number

____/____/____

(____)______-_________

Fax Number

We choose to remit the withholding taxes

____-________________

Federal ID No.

____Quarterly

____Monthly

Owner’s Social

Security Number

_______-______-______

IF YOU WILL BE SUBCONTRACTING ANY WORK IN TROY,

YOU MUST SUPPLY A LIST OF THE NAMES, ADDRESSES

Federal Tax Year _____Calendar (January through December)

AND THE TELEPHONE NUMBERS OF THE SUB-

_____/______/______

_____Fiscal ending

CONTRACTORS. THIS LIST MUST BE RETURNED WITH

THIS QUESTIONNAIRE.

_______________________________________

Address of job site in Troy

____________________________________________________________

I understand the proper Troy Income Tax Accounts will be

opened and all necessary forms that need immediate filing will

The Business is a ____Sole Proprietor ____Partnership ____Corporation

be mailed.

_______________________________________

_____________________________(___)____-________

Corporate Statutory Agent

_______________________________________

Company Contact Person

______________________________________

Comments____________________________________

Are you a materials supplier only with no installation of the product?

_____________________________________________

______Yes

______No

Business Income Tax Questionnaire Form

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