Form St 26 - Application For Cumulative Return Authority
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1
2ST 26
FOR STATE USE ONLY
Rev. 12/04
Account Number Assigned
Effective Date
Filing Frequency
Check Digit
P.O. Box 182215 — Columbus, OH 43218-2215
— FAX: (614) 387-1851
Application for Cumulative Return Authority
Application is hereby made for cumulative return authority for those retail establishments listed on the next page.
It is agreed that if such authority is granted, the applicant will file a tax return under the master vendor’s license in
accordance with the prescribed method of filing as determined by the Tax Commissioner. The tax return will be
supplemented by a detailed report of such data and information applicable to each individual retail establishment as the
commissioner may require.
Federal employer identification number
Social security number
Ohio corporate charter number
If you are a foreign corporation, give Ohio certificate number.
1.
Select type of ownership:
Select one:
2.
Legal name:
Corporation, sole owner, partnership
3.
Trade name or DBA:
4.
Primary address:
Home/office address of corporation, sole owner or partnership
City
State
Zip
Home/office phone number
Home/office fax number
Business phone number
5.
Mailing address:
If different than above
City
State
Zip
6.
If you operate as a corporation or partnership, list appropriate names, addresses & social security numbers below.
Title
Name
Street
City
State
Zip
SSN
Pres/Partner
VPres/Partner
Scy/Trs/Prtner
Signature of vendor or officer of company
Title
Date
Instructions
List on the next page of this application, in numerical sequence,
Master number on the line indicated on the license
the license number and address of each retail establishment to
application. Until you receive notification of the effective date
be covered by master vendor’s license.
of the cumulative return authority, you will continue to file
sales tax returns for each location under your present method
of reporting.
All licenses listed must be under the same entity number to be
eligible for cumulative return authority.
If one of your licenses is to be cancelled, the date of
When a new license that will be reported under your cumulative
cancellation must be immediately forwarded to Registration
authority is obtained from a County Auditor, please write your
Unit, P.O. Box 182215, Columbus, OH 43218-2215.
Mail to: Ohio Department of Taxation, Registration Unit, P.O. Box 182215, Columbus, OH 43218-2215
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