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JEDD BUSINESS QUESTIONNAIRE TAX OFFICE USE ONLY
JOINT ECONOMIC DEVELOPMENT DISTRICTS
ÅÅAccount# ______________
1 Cascade Plaza - Suite 100
Account# ______________
Akron, OH 44308-1161 Auditor ________________
(330) 375-2539 - Profit/Loss Date Issued_____________
(330) 375-2497 - Withholding
(330) 375-2456 - Fax
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
The following information is necessary for our records. PLEASE COMPLETE AND RETURN THIS QUESTIONNAIRE WITHIN TEN (10) DAYS.
BATH-AKRON-FAIRLAWN JEDD
COPLEY-AKRON JEDD
COVENTRY-AKRON JEDD
SPRINGFIELD-AKRON JEDD
BUSINESS NAME_____________________________________________________________________________________________________________
BUSINESS ADDRESS _________________________________________________________________________________________________________
(Mailing address for tax purposes)
BEGINNING DATE OF JEDD ACTIVITY__________________________________________________ TELEPHONE # _________________________
JEDD ADDRESS _____________________________________________________________________________________________________________
JEDD TELEPHONE # _______________________________ IS JEDD THE HOME OFFICE?________________ BRANCH OFFICE? ___________
If no JEDD address, are any net profits attributable to the JEDD? YES_____ NO __ _ ____
TRADE NAME (if any)________________________________________________________ FED ID # ________________________________________
FEDERAL BUSINESS ACTIVITY CODE _____________ NATURE OF BUSINESS _______________________________________________________
TYPE OF ORGANIZATION : Sole Proprietorship_____ __ S Corp ______ __ C Corp ____ __ __ Partnership ___ __ __ _ LLC ________
__________________________________________________________________________________________________ OWNERS NAME ADDRESS SOC SEC NUMBER
__________________________________________________________________________________________________ OWNERS NAME ADDRESS SOC SEC NUMBER
NUMBER OF EMPLOYEES WORKING IN JEDD _____________ DATE FIRST EMPLOYEE WAS HIRED________________________________
ACCOUNTING PERIOD USED: CALENDAR YEAR _______ FISCAL YEAR _______ (Fiscal Year Ending _________)
Do you own rental property in the JEDD? YES __ ___ NO ___ ___ (If yes, what is the total annual gross income? _______________________ )
Address ____________________________________________________________________ Date Purchased ______________________________
Address ____________________________________________________________________ Date Purchased ______________________________
Do you operate more than one place of business in the JEDD? YES _______ NO ___ ____
Address ____________________________________________________ Trade Name ________________________________________________
Address ____________________________________________________ Trade Name ________________________________________________
IF CURRENT BUSINESS IS THE SUCCESSOR TO A PRE-EXISTING BUSINESS, PLEASE COMPLETE THE FOLLOWING:
Name/s of previous owner/s and trade name, if any _______________________________________________________________________________
___________________________________________________________________________________________________________________________
Mailing Address ______________________________________________________________________________________________________________
Former Business Type : Sole Proprietorship _____ S Corp___ ____ C Corp __ __ __ _ Partnership ___ ____ LLC _ ______
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Under penalties of perjury, I certify that all information and statements herein are true and correct.
Print Name & Title ___________________________________________________________________________________
Signature __________________________________________________________ Date __________________________
2/1/2022