Business Income Tax Registration Form printable pdf download

Business Income Tax Registration Form

SPENCERVILLE VILLAGE INCOME TAX DEPT.

P O BOX 57

SPENCERVILLE, OH 45887

419-647-4171

BUSINESS REGISTRATION

The information provided on this form will remain confidential and be used strictly for the

Village of Spencerville Income Tax files to assist in preparing forms for compliance of the

Village Income Tax Ordinance. Please complete the form and return to our office within

ten days of receipt. Thank you for your cooperation.

Name and Physical Address of Business

_____________________________________________________________________________

Address to which tax forms are to be mailed

_____________________________________________________________________________

Type of Ownership: ___ Proprietorship ___Corporation ___Partnership ___ Non-Profit

Other________________________________________________________

FEIN: _______________________________________________________________________

Nature of business conducted

_____________________________________________________________________________

Accounting Period used for Federal Income Tax Purposes_______________________________

How many persons do you employee?_______________________________________________

Do you at any time during the year employ persons who are subject to the Village of

Spencerville Income Tax and from whom you will not withhold the Income Tax? If so, please

list names and addresses of such employees. (Note: If business is located within the Village

corporation there are mandatory employee withholding requirements per Village ordinance.)

_____________________________________________________________________________

Business Income Tax Registration Form