Form Cat Ar - Commercial Activity Tax (Cat) Consolidated Elected And Combined Taxpayer Groups - Ohio Department Of Taxation

CAT AR

ADD/REMOVE

a Member to/from Group

Rev. 9/07

Commercial Activity Tax (CAT) Consolidated Elected and Combined Taxpayer Groups

P.O. Box 16158

Columbus, OH 43216-6158

(This form only applies to existing taxpayer groups. Please complete form CAT ES for changing the filing status.)

tax.ohio.gov

Reporting Member CAT

Reporting Member

Reporting Member

Account Number

FEIN/SSN

Name

If taxpayer is a consolidated elected taxpayer group, does it elect to include its non-U.S. entities?

Yes

No

Note: This only applies to a consolidated elected taxpayer group that did not have any non-U.S. entities at the time it made the initial election to consolidate. If the group subsequently

acquired such a person at the requisite level of ownership and control, it must choose to either include or exclude the non-U.S. entities at the time of acquisition. This election is

binding for the remainder of the eight calendar quarters of the initial consolidated election.

1

Add/remove (select one)

FEIN/SSN

Address (only required when adding members)

Type of ownership

State/country of incorporation

Name of member of consolidated elected/combined taxpayer Address

NAICS code

2

Effective date

3

Trade name or DBA

City

State

ZIP code

Reason for removal (if applicable)

4

Already registered for CAT? Please provide acct. #

Country

Reason for removal

Add

Remove

Add

Remove

Add

Remove

Add

Remove

I hereby declare the above to be true and correct to the best of my knowledge and belief.

Date

Signature

1

Ownership type (e.g., association, trust, C corporation, LLC, LLP, LTD, partnership, S corporation, single member LLC, sole

Any member acquired or formed after the filing of the initial

proprietor, other)

registration shall be included in the group. The group must

2

For NAICS codes visit tax.ohio.gov and click on “Tax Forms” and enter “NAICS” under form title

notify the tax commissioner of any additions with the next

3

“Effective date” refers to the date this entity became a member of the consolidated elected or combined taxpayer group or the date

tax return filed.

this entity was removed from the consolidated elected or combined taxpayer group for filing purposes

Please make additional copies of this form as necessary.

4

Reasons for removal (e.g., out of business, sold business, merger, dissolution, bankruptcy, other)