Income Tax Bureau Tax Account Application Form

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Return completed form to:
CITY OF CINCINNATI
Cincinnati Income Tax Bureau
INCOME TAX BUREAU
805 Central Avenue Suite 600
TAX ACCOUNT APPLICATION
Cincinnati, OH 45202-5799
Phone: (513) 352-3838
Fax: (513) 352-2542
OPERATING NAME _______________________________________________________________
COMPANY ADDRESS ______________________________________________________________
ORGANIZATION TYPE:
9 9
9 9
9 9
CORPORATION
PARTNERSHIP
SOLE PROPRIETORSHIP
9 9
9 9
SUBCHAPTER S CORPORATION
OTHER _____________________
DATE TAXABLE ACTIVITIES BEGAN IN CINCINNATI ___________________________
NATURE OF BUSINESS _________________________________________________________
PRIOR CINCINNATI TAX ACCOUNT NUMBER ___________________ FISCAL YEAR END _________
LOCAL MANAGER OR REPRESENTATIVE __________________________________________________
ADDRESS OF CINCINNATI LOCATION ______________________________________________________
LOCAL PHONE # ______________________________ WATS LINE # 800- _________________________
SOCIAL SECURITY # _________________________ AND/OR FEIN # _____________________________
WILL YOU HAVE EMPLOYEES SUBJECT TO CINCINNATI WITHHOLDING TAX? _______________
WILL WITHHOLDING REMITTANCE EXCEED $200.00 PER MONTH? _______________
CORPORATION:
PRESIDENT ____________________________________
SSN# __________________________________
TREASURER ___________________________________
SSN# __________________________________
PARTNERSHIPS (ATTACH ADDITIONAL SHEETS, IF NECESSARY):
PARTNER'S NAME/SOCIAL SECURITY NO.
PARTNER’S RESIDENTIAL ADDRESS
____________________________________________
_________________________________________
____________________________________________
_________________________________________
SOLE PROPRIETORSHIP:
OWNER'S NAME/SOCIAL SECURITY NO.
OWNER=S RESIDENTIAL ADDRESS
____________________________________________
_________________________________________
FORM COMPLETED BY:
____________________________________________
_________________________________________
SIGNATURE/TITLE
DATE

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