Form Cat 1 - Commercial Activity Tax Registration Page 3

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CAT 1
Schedule A
Rev. 5/11
P.O. Box 16158
Columbus, OH 43216-6158
tax.ohio.gov
Schedule A – Commercial Activity Tax (CAT)
Schedule A is to be completed by all taxpayers other than sole proprietorships. Please list the required information for either the corporate offi cers,
partners or members. If you are a consolidated elected taxpayer or a combined taxpayer, list the information only for the primary entity.
Name of fi ler:
(as shown on line 4)
FEIN:
SSN:
CAT account no. (if issued) for primary entity:
Indicate: Offi cer*, general partner,
Name
Address
Country
managing partner or member
FEIN
SSN
City
State
ZIP code
*
President, vice president, secretary, treasurer, statutory agent

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