Toledo Income Tax Questionnaire Form
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1For Office Use Only
AC#
Date:
City of Toledo
Division of Taxation & Treasury
One Government Center, Suite 2070. Toledo, OH 43604-2280. Office (419) 245-1662. FAX (419) 936-2318
Toledo Income Tax Questionnaire
FAILURE TO FULLY COMPLETE MAY RESULT IN DELAYS IN ESTABLISHING YOUR ACCOUNT
Business Type:
Sole Proprietorship
Partnership
Corporation
Association
______________________________
(Schedule C filer)
(Form 1065)
(Form 1120/1120S)
FEDERAL TAX ID NO.
Single Member LLC
Voluntary Withholder
(no Toledo operation)
______________________________________________________
SOCIAL SECURITY NO. OF OWNER/ CORPORATE OFFICER
______________________________________________________
_______________________________________________________
Business Name
Owner or Corporate Officer’s Name
______________________________________________________
_______________________________________________________
Business Address
Owner’s/Corporate Officer’s Home Address
______________________________________________________
_______________________________________________________
Business City, State, Zip
Owner’s/Corporate Officer’s City, State, Zip
______________________________________________________
_____________________________________________________
Business Phone
Owner’s Phone No.
Alternate Phone No./Cell Phone
______________________________________________________
_______________________________________________________
Business Fax
Email Address
______________________________________________________
_______________________________________________________
Toledo Business Name
Partner’s Name (Tax Matters Partner) ATTACH LISTING OF NAMES,
ADDRESSES, AND SOCIAL SEC. NO. OF ALL PARTNERS)
______________________________________________________
_______________________________________________________
Toledo Address, if different
Partner’s Home Address (Tax Matters Partner)
______________________________________________________
_______________________________________________________
Mailing Address (if different)
Partner’s City, State, Zip (Tax Matters Partner)
______________________________________________________
_______________________________________________________
Starting Date of Toledo Activities
Partner’s Phone No. (Tax Matters Partner)
1
. Are there now or will there be employees subject to Toledo Income Tax? Yes______ No______
Will you be filing monthly (withholding > $
/month)?
Yes ______ No ______
Payroll Starting Date __________
2. Accounting Period: Calendar Year? ___________ or Identify Fiscal Year Ending ________________________________
3. Nature of Business _________________________________________________________________________________
4. Is local address the home office or a branch? ____________________________________________________________
5. If your address is not in Toledo, do you conduct business within Toledo City limits? Yes_________ No_____________
6. If you operate more than one place of business, give business name and location(s): _____________________________
___________________________________________________________________________________________________
IF BUSINESS WAS OUTGROWTH OF ANOTHER, COMPLETE THE FOLLOWING
7. Name of former Owner(s) ___________________________________________________________________________
8. Business Name ___________________________________________________________________________________
9. Mailing Address __________________________________________________________________________________
10. Type of Organization: Sole Proprietorship ________ Partnership ________ Corp.__________ Association _________
11. Nature of Change: Sale______
Discontinuance______
Change in Ownership__________
Other____________
12. Accounting Period: Calendar Year ___________ Fiscal Year Ending ________________________________________
Signature ___________________________________________
Title_____________________________________
Printed Name ________________________________________
Date ____________________________________
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Parent category: Financial