Income Tax Division - City Of Bowling Green printable pdf download

CITY OF BOWLING GREEN

Income Tax Division

304 North Church Street

Bowling Green, OH 43402-2399

(419) 354-6212

Telephone

(419) 354-5122

Fax

Email:

Web:

“Click on Income Tax”

We want you to know that BG has an income tax of 1.92%. And everyone must file a tax return unless

the tax is properly withheld by a BG employer on all taxable income. So that you are properly identified in

our files, please complete and return this questionnaire.

PLEASE ANSWER ALL APPLICABLE QUESTIONS:

1. You have lived in Bowling Green since ________________________.

2. Name and address of your employer_________________________________________________

______________________________________________________________________________

This employer since? ______ Is your tax withheld ? ______ For what city ? ____________________

3.Please list other employed member(s) of this household:

NAME

NAME & ADDRESS OF EMPLOYER

SINCE

______________________________________________________________________________

4. Do you own all or part of a Farm? _____ Business? ____ Rental Property? ____ anywhere? ______

5. Aside from the income listed above, pension, military pay, interest and dividends, list all other income

sources: _______________________________________________________________________

6. If you are not employed, are you a student ____ ; retired _____; other (please explain) ___________

______________________________________________________________________________

7. Please provide the name and address of your landlord: ____________________________________

______________________________________________________________________________

Your Name____________________________________ Social Security # ___________________

(First)

(Middle)

(Last)

Spouse Name___________________________________ Social Security # __________________

(First)

(Middle)

(Last)

Address ________________________________________________Telephone_______________

Please be assured that all information will be held as confidential and used for tax administration purposes only. Thank you.

Income Tax Division - City Of Bowling Green