Form 48 - Business Registration
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1
2BUSINESS REGISTRATION FORM 48
MUNICIPALITY
FEDERAL IDENTIFICATION NUMBER
SOCIAL SECURITY NUMBER (COMPLETE ONLY IF A SOLE PROPRIETOR)
FILING STATUS:
CORPORATION
ESTATE/TRUST
LLC
NON-PROFIT
PARTNERSHIP
S-CORP.
SOLE PROPRIETOR
RITA LOCATION NAME AND ADDRESS AS USED FOR BUSINESS PURPOSES
BUSINESS NAME:
PHONE: (
)
ADDRESS:
CITY:
STATE:
ZIP:
IF CORPORATE SUBSIDIARY, GIVE NAME AND ADDRESS OF PARENT COMPANY MAIN OFFICE
BUSINESS NAME:
ADDRESS:
CITY:
STATE:
ZIP:
IF SOLE PROPRIETORSHIP, GIVE OWNER’S NAME AND HOME ADDRESS
NAME:
PHONE: (
)
ADDRESS:
CITY:
STATE:
ZIP:
WHAT DATE DID YOU BEGIN OPERATIONS IN A RITA MUNICIPALITY?
PLEASE LIST THE COMPANY NAICS CODE OR CHECK THE BOX THAT BEST DESCRIBES THE COMPANY BUSINESS TYPE.
NAICS
TRANSPORTATION
NON MANUFACTURING
MANUFACTURING
WHOLESALE
RETAIL
FINANCE
SERVICES
PUBLIC ADMINISTRATION
NON CLASSIFICATION
EMPLOYEE INFORMATION
*
ARE CONTRACTORS UTILIZED? (CHECK ONLY ONE)
DO YOU HAVE ANY EMPLOYEES? (CHECK ONLY ONE)
YES
NO
YES
NO
*IF YES COMPLETE REVERSE SIDE.
IF YOU HAVE EMPLOYEES PROCEED WITH EMPLOYEE INFORMATION. IF YOU DO NOT HAVE EMPLOYEES PROCEED TO THE PROFIT/LOSS SECTION.
NUMBER OF EMPLOYEES AT RITA LOCATION:
MONTHLY GROSS PAYROLL AT RITA LOCATION:
WILL YOU BE WITHHOLDING RESIDENCE TAX ONLY?
YES
NO
SEND WITHHOLDING TAX FORMS TO
BUSINESS NAME:
PHONE: (
)
CARE OF:
ADDRESS:
CITY:
STATE:
ZIP:
IF YOU ARE A NON-PROFIT ORGANIZATION STOP HERE AND SIGN AT BOTTOM
PROFIT/LOSS INFORMATION
ENDING DAY OF FISCAL YEAR IF OTHER THAN CALENDAR YEAR
/
/
MONTH
DAY
YEAR
SEND NET PROFIT TAX RETURN TO
BUSINESS NAME:
PHONE: (
)
CARE OF:
ADDRESS:
CITY:
STATE:
ZIP:
THE INFORMATION HEREBY SUBMITTED IS TRUE AND CORRECT.
SIGNATURE:
DATE:
PRINT NAME:
TITLE:
PHONE:
REGIONAL INCOME TAX AGENCY
CLEVELAND LOCAL: (440) 526-0900
COLUMBUS LOCAL: (614) 538-0512
YOUNGSTOWN LOCAL: (330) 743-3400
FAX: (440) 526-3136
TDD: (440) 526-5332
TOLL FREE: 1-(800) 860-RITA (7482)
ATTN: BUSINESS REGISTRATION
P.O. BOX 477900 BROADVIEW HEIGHTS, OHIO 44147-7900
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