Business Registration Form - Department Of Taxation - City Of Lorain, Ohio

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CITY OF LORAIN, OHIO
ORIGINAL
DEPARTMENT OF TAXATION
FOR TAX OFFICE USE ONLY
TH
605 WEST 4
STREET
Account Type: _______
LORAIN, OHIO 44052-1605
W/H Acct.: _______
BUSINESS REGISTRATION FORM
Please Complete Fully, Sign and Return Within 10 Days
1. Local names as used for business purposes,
2. Local address
3. Federal Identification Number
4. Is above address the name office or branch office
If branch, give name of address of main office
5. Nature of business conducted
6. Date Started or acquired in Lorain
7. If place of business is located outside of Lorain, do you have earnings resulting from activity in Lorain?
YES
or
NO
(Circle one)
8. Accounting period used for Federal Income Tax purposes:
Calendar Year, ending 12/31
___ Fiscal Year, ending ____________
9. Do you now employ one or more persons?
YES
or
NO
(Circle one)
10. Do you at anytime during the year, employ persons who are subject to the Lorain Income Tax and from
whom you do not withhold? (i.e. contract labor, independent commission sales brokers, etc.)
YES
or
NO
(Circle one)
st
Copies of all 1099 Misc. Forms for the above mentioned persons are required to be filed by January 31
.
11. Type of business ownership: Individual Proprietorship _____; Corporation _____; Partnership _____;
Limited Liability Company _____; Association _____; Non-profit Corporation _____; other ___________

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