Form Cat 1 - Commercial Activity Tax Registration

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CAT 1
Rev. 5/11
Reset Form
Page 1
P.O. Box 16158
Columbus, OH 43216-6158
tax.ohio.gov
Commercial Activity Tax Registration
Please complete in black or blue ink – do not use pencil.
For state use only
Federal employer identifi cation number
Social security number (if no FEIN)
1. Type of organization (check only one):
Association/trust
C corporation
LLC
LLP
LTD (non-U.S.)
Partnership
QSSS
S corporation
(other than LLP)
Single-member
Sole proprietorship
Other
(please describe)
LLC
If you selected anything other than sole proprietor, please complete Schedule A.
2. Are you a consolidated elected taxpayer, a combined taxpayer or a single entity taxpayer? Check only one.
Single entity
Consolidated elected
Consolidated elected
Combined
taxpayer
with 80% ownership
with 50% ownership
By checking either consolidated box above, the entities listed on Schedule B of this registration hereby
elect to fi le a consolidated return.
If you are consolidated, are you including your non-U.S. entities (same ownership election as above)?
Yes
No
N/A (currently do not have any non-U.S. entity)
3. If you are a consolidated elected taxpayer or a combined taxpayer, please enter the total number of
members, including yourself, and complete Schedule B (attached).
4. A. Legal name of entity (sole proprietor complete 4B):
B. Sole proprietor:
Last name
First name
M.I.
5. Trade name or DBA:
6. Primary address:
Address of taxpayer’s principal offi ce
City
State
ZIP code
Country (if other than U.S.A.)
Date Received
(For state use only)
M
M
D D
Y
Y
– over –

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