Form Cq/2010 - Contractors & Sub-Contractors Questionnaire printable pdf download

CONTRACTORS & SUB-CONTRACTORS QUESTIONNAIRE

CITY OF CANFIELD INCOME TAX DEPARTMENT, 104 LISBON STREET, CANFIELD, OHIO 44406-1416

Phone: 330-533-1101 ~ Fax: 330-533-2668 ~ Web-site:

~ E-mail:

gfriedenberger@ci.canfield.oh.us

DATE: _______________

To establish and maintain accurate records, the Income Tax Ordinance requires that you complete and return this form.

PLEASE PRINT.

1. Federal I.D. No. ________________________

Soc. Sec. No. ________________________

2. Local name & address as used for business purposes: Trade Name ______________________________________

Location _____________________________________________________

3. Phone # ____________________

4. Fax # _______________ 5. Nature of business______________________________________________________

6. Date property purchased _______________

7. Date business moved to or opened in City _______________

8. Date began work in the City _______________

9. Accounting period for Federal Tax: ___ Calendar Year ending Dec. 31 ___ Fiscal Year ending _________________

10. Do you employ one or more persons? ____ 11. Will you WH $100.00 or more monthly in Canfield income tax? ___

12. Do you employ persons from whom no Canfield City tax is withheld? _____ If Yes, attach a list with name, address,

and SSN of each person. 13. If a payroll service is used please give name of service, contact person and phone

number. __________________________________________________________________________________

14. Type of ownership: ____ Individual Proprietorship

____ Corporation

____ S Corp

____ Partnership

___ LLC

____ Non-Profit Corporation

____ Other: ________________________________

15. If partnership, association, or other unincorporated joint business venture, not located in the City limits, how will the

Canfield Net Profit Tax Return be filed? ___ In full by business. ___ Separately by individual partners on their

proportionate shares (list partners on page 2, #16). The pass through entity must file if located in City.

16. Send Business Net Profit Form to:

Send Withholding Forms To:

Name ________________________________________ Name ________________________________________

Care of _______________________________________ Care of _______________________________________

Address ______________________________________ Address ______________________________________

City __________________ State ____ ZIP ___________ City __________________ State ___ ZIP ___________

Phone ____________________

ALSO COMPLETE QUESTIONS ON BACK

CQ/2010

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Form Cq/2010 - Contractors & Sub-Contractors Questionnaire