Form Fit Ar - Add/remove A Member To/from A Consolidated Group Financial Institutions Tax (Fit)

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Tax Year

FIT AR

Prescribed 4/13

P.O. Box 2476

Columbus, OH 43216-2476

tax.ohio.gov

ADD/REMOVE

a Member to/from a Consolidated Group

Financial Institutions Tax (FIT)

(This form only applies to existing taxpayer groups.)

Reporting Member FIT

Reporting Member

Account Number

FEIN

Name

Add

Remove (select one)

Corporation name

FEIN

Address

Reason

Effective date

Add

Remove (select one)

Corporation name

FEIN

Address

Reason

Effective date

Add

Remove (select one)

Corporation name

FEIN

Address

Reason

Effective date

Add

Remove (select one)

Corporation name

FEIN

Address

Reason

Effective date

Add

Remove (select one)

Corporation name

FEIN

Address

Reason

Effective date

I hereby declare the above to be true and correct to the best of my knowledge and belief.

Date (MM/DD/YYYY)

Signature

Contact telephone no.

E-mail

Reasons for addition or removal (e.g., acquisition, merger, out of business, sold business, dissolution, bankruptcy).

“Effective date” refers to the date this entity became a member of the consolidated group or the date this entity was removed from the consolidated group

for ﬁ ling purposes.

Please make additional copies of this form as necessary.