Form St 3c - 2009 - Update Information - Ohio Department Of Taxation printable pdf download

Form St 3c - 2009 - Update Information - Ohio Department Of Taxation

ST 3C

Rev. 11/09

Please detach here – DO NOT USE PENCIL to complete this form.

hio

Department of

ST 3C

Vendor’s License/Account Number

Rev. 11/09

Reset Form

Taxation

P .O. Box 182215

Columbus, OH 43218-2215

Update Information

Please review your current business information in area A. If corrections are necessary, complete form ST 3C per instructions

provided on the form and enter the corrected information in area B.

A: Current Information

B: New Information

Social Security Number

Employer Identiﬁ cation Number

NAICS Code

Ohio Charter or License Number

NAICS description



No

If yes, see reverse side.

Change of ownershipYes

NAICS description

Legal name only

DBA only

Name and Mailing Address:

Mailing address

Should this change also be made to your: Yes

Name and Business Location:



 

1) Corporate account



2) Employer withholding account



3) School district withholding account

To cancel account, enter last day of business.

See reverse side for instructions.

Form St 3c - 2009 - Update Information - Ohio Department Of Taxation