Business Questionnaire - City Of Warren - Ohio Income Tax Division Form printable pdf download

Business Questionnaire - City Of Warren - Ohio Income Tax Division Form

City of Warren, Ohio Income Tax Division

BUSINESS QUESTIONNAIRE

This Questionnaire must be completed and returned to this office by

-----------' whether or not there is any liability for Warren

City Income Tax (Ordinance 9126/81 ).

BUSINESS NAME:

ADDRESS:

If all tax is being paid under another name, list name, address and account number below:

1. Date your business started ( or will start ) in Warren

(If this account is a courtesy withholding for a Warren Resident please indicate

that on the above line and proceed to question 4.)

How acquired (Check one)

o New Business

o Purchased

o Reorganization

o Other

List name of former owner, if any, below:

2. List actual Warren Location of your business:

3. Principal business activities: __________ _

4. Do you have employees? o Yes

o No If yes, how many? __

Date you first had employees_/ _ / _

Approximate monthly payroll applicable to the City of Warren$ _____ _

(You are required to make monthly withholding payments if your liability

exceeds $200.00 per month. The Warren city tax rate is 2.5 %.)

5. Federal Employer Identification Number: __________ _

Business Questionnaire - City Of Warren - Ohio Income Tax Division Form