Form St 26 - Application For Cumulative Return Authority

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ST 26
Department of
Rev. 12/09
Taxation
Application for
07100100
Cumulative Return Authority
Vendor’s license no.
(For department use only)
Application is hereby made for cumulative return authority for those retail establishments listed on the next page.
It is agreed that if such authority is granted the applicant will fi le a tax return under the master vendor’s license in accordance
with the prescribed method of fi ling as determined by the tax commissioner. The tax return will be supplemented by a detailed
report of such data and information applicable to each individual retail establishment as the commissioner may require.
Federal employer identifi cation no.
Social Security no. / ITIN
Ohio corporate charter no. / certifi cate no.
1. Check type of ownership: (10) Sole owner
(20) Partnership
(30) Corporation
(150) Nonprofi t
(50) LLC
(70) LLP
(80) LTD
Other (please specify)
2. Legal name
(Corporation, sole owner, partnership, etc.)
3. Trade name or DBA
4. Primary address
Address of corporation, sole owner, partnership, etc.
City
State
ZIP code
Business phone no.
Fax no.
Secondary phone no.
5. Mailing address
(If different from above)
City
State
ZIP code
6. If you operate as a corporation or partnership, list appropriate names, addresses and identifi cation numbers below.
Title
Name
Street
City
State
ZIP code
SSN / ITIN / FEIN
Title
Name
Street
City
State
ZIP code
SSN / ITIN / FEIN
Title
Name
Street
City
State
ZIP code
SSN / ITIN / FEIN
7. Name, phone number, fax number and e-mail address of individual the department should contact regarding this account
Name
Phone no.
Fax no.
E-mail address
Date
Signature of applicant
Instructions
List on the next page of this application, in numerical sequence,
ter number on the line indicated on the license application.
the license number and address of each retail establishment to
Until you receive notifi cation of the effective date of the cumulative
be covered by master vendor’s license.
return authority, you will continue to fi le sales tax returns for each
location under your present method of reporting.
All licenses listed must be under the same entity number to be
eligible for cumulative return authority.
If one of your licenses is to be cancelled, the date of cancellation
must be immediately forwarded to Registration Unit, P.O. Box
When a new license that will be reported under your cumulative
182215, Columbus, OH 43218-2215. Phone: (888) 405-4089.
authority is obtained from a county auditor, please write your mas-
Mail to: Ohio Department of Taxation, Registration Unit, P.O. Box 182215, Columbus, OH 43218-2215.

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