Taxpayer Registration Form December 2002

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CITY OF NORTON - INCOME TAX DIVISION
(Summit County, Ohio District #7711)
4060 COLUMBIA WOODS DRIVE
NORTON OH 44203
web site address:
330-825-4511
TAXPAYER REGISTRATION FORM
*** Corporation - Non-Resident - Sole-Proprietor - Partnership - Payroll Withholding ***
PLEASE CHECK:
Corporation
Sole-Proprietor (Non-Resident Only)
Partnership
Payroll Withholding
Federal ID#:
Date Business Began in Norton
and/or Withholding Started
Name of Owner (if Sole-Proprietor):
Name of Officer (if Corporation):
Business Name and Address
Mailing Address (if different):
Phone Number:
Fax Number:
E-Mail Address:
Year End Date:
IF CORPORATE SUBSIDIARY -- Please list Name, Address and Phone Number of Partners:
Do your have; OR expect to have Employees?
YES
NO
IF PARTNERSHIP -- Please List Name, Address and Phone Numbers of Partners:
With reference to Real Estate Properties Located within the City of Norton, does the Business
occupy, as Tenant, Real Property in Norton rented from Others?
YES
NO
If Yes, Name & address to whom rent is paid:
I Certify that I have examined this form and it is true and complete and is the same information
used for reporting Federal Income Tax.
Signature:
Date
Title:
Failure to properly complete this form may result in the imposition of penalities and/or fees.
All information provided on this form is CONFIDENTIAL and is used for City Income Tax purposes only.
revised 12/19/2002

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