Business Tax Return Form - City Of Forest Park Income Tax Division - 2012 Page 3
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3City of Forest Park
1201 West Kemper Road
Forest Park, Ohio 45240
Phone: (513) 595-5261
Fax: (513) 595-5293
Business Confidential Income Tax Questionnaire
Name of Firm:
Telephone: Home Office:
Local Office:
Street Address (Local):
Zip Code:
Project Address:
Zip Code:
Address from which returns to this office will be sent:
Street:
City:
State:
Zip Code:
Principal Business Activity:
NAICS Code#:
□
□
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Type:
Corporation
Partnership
Proprietorship
Profession
Other:
Home Address of any Non-Resident Partners:
Trade Name (if any):
Date Business Started in this Municipality (full or part time):
Accounting Period:
Calendar Year
or Fiscal Year from
to
Number of Employees:
(a) Resident
(b) Non-Resident
Approximate average weekly Payroll:
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Factory or Office:
Owned
Rented
Name of Landlord:
Address of Landlord
Name and address of employee to whom forms and communications are to be sent:
(Mr.) (Mrs.) (Ms.)
Title:
Street:
City:
State:
Zip Code:
Signed:
Federal ID
Title:
Charter #
Date:
President’s Social Security Number
Presidents Name (Print)
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