Form St 26 - Application For Cumulative Return Authority
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1
2Prescribed Form
S
O
TATE OF
HIO
ST 26
D
T
EPARTMENT OF
AXATION
A
C
R
A
PPLICATION FOR
UMULATIVE
ETURN
UTHORITY
Application is hereby made for Cumulative Return Authority for those retail establishments listed on reverse side.
It is agreed that if such authority is granted the applicant will file a tax return under the master vendor's license in accor-
dance with the prescribed method of filing as determined by the Tax Commissioner. Also, the tax return will be supple-
mented by a detailed report of such data and information applicable to each individual establishment as the Commissioner
may require.
Employer Identification No.
Social Security No.
Federal Employer Identification Account Number
or Social Security Number
Ohio Corporation Charter Number (if applicable) _________________________________________________________
Legal Entity ______________________________________________________________________________________
(exactly as shown on vendor's license)
DBA (Trade Name) ________________________________________________________________________________
Street Address ____________________________________________________________________________________
City ________________________________ State__________________________
Zip Code _________________
Mailing address, if different than shown on master vendor's license ___________________________________________
_________________________________________________________________________________________________
If vendor is a corporation, show officers' names and addresses below.
President ________________________________________________________________________________________
name
street
city and state
Vice-Pres ________________________________________________________________________________________
name
street
city and state
Secy/Treas _______________________________________________________________________________________
name
street
city and state
_____________________________________________
signature of vendor or officer of company
_____________________________________________
title
date
_____________________________________________
telephone number
Instructions
List on reverse side of this application in numerical sequence the
master number on line number 10 of the license application.
license number and address of each retail establishment to be cov-
ered by said master vendor's license.
If one of your licenses is to be cancelled, the termination date must
be immediately forwarded to our License Unit, P.O. Box 530,
All licenses listed must be the same ENTITY to be eligible for
Columbus, OH 43266-0030.
Cumulative Return Authority.
Until you receive notification of the effective date of the Cumula-
When a new license is obtained from a County Auditor which will
tive Return Authority, you will continue to file sales tax returns for
be reporting under your Cumulative Authority, please indicate your
each location under your present method of reporting.
Mail to: Ohio Department of Taxation, Sales Tax Unit, P.O. Box 530, Columbus, OH 43266-0030
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