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Withholding and Business registration
Wooster Income Tax Department
PO Box 1088 Wooster, OH 44691
330-263-5226 (phone) 330-263-5262 (fax)
www.woosteroh.com
Company Name:__________________________Phone#: _______________________
Local business or job-site address: _________________________________________
Federal ID: _____________________
1. Nature of business conducted (NAICS # if available) _________________
2. Fiscal year end ___________________________
3. Type of ownership ______ sole proprietorship ______ corporation/ S corp
______ partnership ______ Non-profit/Other
4. Initial date of business in Wooster _________________
5. Did you recently or do you expect to have employees working in Wooster? _____
6. Do you wish to set up a courtesy withholding account for employees who are
Wooster residents but do not perform work within the City of Wooster? ______
7. Do you use an outside payroll company? _______ If so, name of payroll service?
_____________________________________
8. If you have answered “yes” to questions 5 or 6 , please complete the following:
Send withholding report tax forms to the following address:
Name: _____________________________________________
Attn: _____________________________________________
Address: _____________________________________________
City: _____________________ State: _______ Zip Code: ___________
For partnerships and sole proprietors, please complete the following information:
Name, address and social security # of partners or sole proprietor:
A) __________________________________________________________
B) __________________________________________________________
C) __________________________________________________________
Send income tax returns to (if same as withholding forms, write “SAME”)
Name: _____________________________________________
Attn: _____________________________________________
Address: _____________________________________________
City: _____________________ State: _______ Zip Code: ___________
Please list any independent contractors used to perform services within the City of
Wooster. Also, if you rent property, please give the owner’s name and address. (Attach
additional sheet if necessary).
_______________________________________________________________________
Information is true and correct (signature) _________________________________
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