Business Questionnaire - City Of Youngstown - Ohio Income Tax Division

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BUSINESS QUESTIONNAIRE . . . CITY OF YOUNGSTOWN, OHIO
DEPARTMENT OF FINANCE
INCOME TAX DIVISION
Date Issued ____________________
Date received by City Income Tax ____________________
For the purpose of our records, with regard to the City of Youngstown Income Tax, please complete and return this
questionnaire promptly
┌
┐
Your name & address
FOR TAX OFFICE USE ONLY
___________________________________
Nature of Business
__________________________________________
Plate Filed
__________________________________________
Taxable Year
___________________________________
Date Coded
└
┘
Federal ID Number or Social Security Number
If you have filed City of Youngstown Income Tax returns before under what name
Address
CITY
ZIP
Account Number
NAME, BUSINESS ADDRESS, NATURE OF BUSINESS, DATE BUSINESS STARTED IN YOUNGSTOWN AND TYPE OF OWNERSHIP
Trade Name
Address
CITY
ZIP
Telephone
Nature of Business
Date Business started in Youngstown
Owner’s Name (if different from above)
Address
CITY
ZIP
Yes
Yes
Do you now have one or more employees? ________________ Do you expect to have employees in the near future?
No
No
Yes
In the conduct of your business, do you employ any one who classifies themselves as sub-contractors?
No
Name
Address
Telephone Number
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