Business Tax Return Form - City Of Forest Park Income Tax Division - 2005 Page 3
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3BUSINESS CONFIDENTIAL INCOME TAX QUESTIONNAIRE
Name of Firm:
Telephone: Home Office:
Local Office:
Street Address (Local):
Zip Code:
Address from which returns to this office will be sent:
Street:
City:
State:
Zip Code:
Principal Business Activity:
NAICS Code#
___________________
Type:
Corporation
Partnership
Proprietorship
Profession
Other
Home Address of any Non-Residents/Partners:
Trade Name (if any):
Date Business Started in this Municipality (full or part time):
Accounting Period:
Calendar Year
or Fiscal Year from
to
Number of Employees: (a) Resident
(b) Non-Resident
Approximate average weekly Payroll:
Factory or Office:
Owned
Rented
Name of Landlord:
Address of Landlord:
Name and Address of employee to whom forms and communications are to be sent:
(Mr.) (Mrs.) (Ms.)
Title:
Street:
City:
State:
Zip Code:
Signed
FEDERAL ID
Title
CHARTER #
Date
PRESIDENT’S SOCIAL SECURITY NUMBER
PRESIDENT’S NAME (PRINT)
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Parent category: Financial