Municipal Income Tax Account Questionnaire - City Of Cuyahoga Falls printable pdf download

City of Cuyahoga Falls

DIVISION OF TAXATION

2310 Second Street * Cuyahoga Falls, Ohio 44221

Phone: (330) 971-8220 * Fax: (330) 971-8219

Website:

Municipal Income Tax Account Questionnaire

Firm

Name:__________________________________DBA_________________________________________

Local Street Address of Business:_________________________________________________________

City:____________________________State:______________________________Zip:______________

Business Phone:_____________________________ Business Fax_______________________________

Nature of

Business_____________________________________________________________________________

Have you previously had a Municipal income tax account with the City of Cuyahoga Falls, Ohio?

Yes

If Yes, please indicate the account number (SSN or EIN)_______________________________________

Date you started business within our city ____/____/____

Date you first had employees within our city ____/____/____

Approximate monthly payroll amount $__________

If you are using a payroll service, indicate which one ________________

Accountant’s Name:____________________________________________ Phone:__________________

Accountant’s

Address:_____________________________________________________________________________

Account Type: (Check all types applicable to you or your business)

__________ C Corporation or

S Corporation:

Federal ID No._____________________ Fiscal Year End_____________

____________

President’s Name:________________________ Vice President:______________________

Address of Home Office:_____________________________________________________

Subsidiary Of: _____________________________________________________________

__________ Partnership: Federal ID No.: ______________________ Fiscal Year End______________

Name: __________________SSN:______________ Address:________________________

Name: __________________SSN:_______________Address:________________________

Name: __________________SSN:______________Address:_________________________

__________ Sole Proprietorship: Federal ID No. If applicable:__________________________________

Name of Owner:____________________________________________________________

Home Address:_____________________________________________________________

Phone: _____________________________ SSN:__________________________________

__________ Withholding Account only: _________Courtesy Withholding or __________Non-Profit

Federal ID No.:_____________________________________________________________

Municipal Income Tax Account Questionnaire - City Of Cuyahoga Falls