City Of Sharonville
Income Tax Office
11641 Chester Road – Sharonville, OH 45246-2803
Phone: (513) 563-1169 Fax: (513) 588-3969
CITY OF SHARONVILLE BUSINESS/PROFESSIONAL REGISTRATION FORM
Name of Business
Federal ID # / SS #
Mailing Address for Business Tax Returns
Mailing Address for Payroll Tax Returns
Name Doing Business As
Type of Business Activity in Sharonville
Sharonville Address (if applicable)
Suite #
Sharonville Phone #
Sharonville Contact Person
Sharonville Job Site Address (if applicable)
Suite #
Please attach a complete listing with addresses and phone numbers of all subcontractors.
Move-in Date / Date Started Working in Sharonville:
Name & Title of Corporate Contact Person
Phone #
Email Address
Accounting Period:
Calendar Year
Fiscal Year Ending : Month/Day
Type of Business: (please check one)
Sole Proprietorship
Partnership
S Corporation
Corporation
Ltd Liability Co
Non-Profit
Names & Titles of Corporate Officers/Partners:
Name & Title
Social Security #
Name & Title
Social Security #
Name & Title
Social Security #
Name & Title of Payroll Contact Person
Phone #
Email Address
Number of W-2 employees working in Sharonville:
Number of 1099 contractual employee’s working in Sharonville:
Do you use a payroll or employee leasing company to submit withholding payments?
Yes
No
Filing Frequency:
Monthly
Quarterly
If yes, list name of payroll or employee leasing company:
Landlord Name & Address if Sharonville location is rented/leased:
I do hereby certify that to the best of my knowledge the above information is true, correct and complete. Additionally, I understand that all information
contained herein is confidential.
Signature
Title
Date
Form RF-B, Rev. 1-16