AKRON  INCOME  TAX  DIVISION 
   BUSINESS  REGISTRATION                                                                                                                                1 Cascade Plaza - Suite 100 
                                                                                                                                                         Akron, OH 44308-1161 
   This is the questionnaire for business                                                                                                                (330) 375-2539 - Profit/Loss 
   filers.  If you are an individual or joint                                                                                                            (330) 375-2497 – Withholding 
   filer use the Individual Questionnaire.                                                                                                               (330) 375-2456 - Fax 
                                                                                                                                                         onlinetax@akronohio.gov - Email 
 
         The following information is necessary for us to register your business or update your income tax records with the City of Akron. 
    If a sole proprietorship you must complete this AND the Individual questionnaire.  If an LLC, indicate how you are filing with the IRS. 
             PLEASE COMPLETE ALL LINES AND RETURN THIS QUESTIONNAIRE WITHIN TEN (10) DAYS. 
 d                                                                                                                                                                                                 
   FED ID                                                                                                                                                TAX  OFFICE  USE  ONLY 
   FEDERAL BUSINESS ACTIVITY CODE                                                                                                               Date issued                                       
                                                                                                                                                Auditor                                           
   NATURE OF BUSINESS                                                                                                          
                                                                                                                                                Account #                                         
   TELEPHONE #                                                                                                                         
                                                                                                                                                Account #                                         
   AKRON TELEPHONE #                                                                                                           
                                                                                                                                                Akron Dist             Ind Code 
   BUSINESS  NAME 
                                                                                                                                                                                                                       
   TRADE NAME (if any)                                                                                                                                                                                                 
 
   MAILING  ADDRESS                                                                                                                                                                                                    
   (MAILING  ADDRESS  FOR  TAX  PURPOSES …  ADDRESS  OF  OUTSIDE  ACCOUNTANT  SHOULD  NOT  BE  USED) 
   BUSINESS  ADDRESS  IN  AKRON                                                                                                                                                                                        
   IF THIS FORM IS SUBMITED FOR AN EMPLOYEE WORKING FROM HOME YOU CAN USE THEIR ADDRESS BUT NOTE THAT THIS IS AN EMPLOYEE ADDRESS. 
   If  there  is  no  Akron  address,  are  any  net  profits  attributable  to  Akron?                YES                                     NO  
    
   BEGINNING  DATE  OF  AKRON  ACTIVITY                                                     IS AKRON: THE HOME OFFICE?                   A BRANCH OFFICE?                
    
   WHO IS YOUR PAYROLL PROVIDER?                                                                                                                                                                                       
    
    TYPE  OF  ORGANIZATION :  Sole Proprietor                  S Corp     C Corp                       Partnership                                  Trust        501c3 
IF YOU ARE AN LLC, PLEASE SELECT A TYPE OF ORGANIZATION ABOVE. 
 
    OWNERS  NAME                                    ADDRESS                                                                                                                     SOC   SEC NUMBER 
    OWNERS  NAME                                    ADDRESS                                                                                                                     SOC   SEC NUMBER 
 
   NUMBER  OF  EMPLOYEES  WORKING  IN  AKRON                               DATE  FIRST  EMPLOYEE  WAS  HIRED                                                                                                           
 
   ACCOUNTING  PERIOD  USED:            CALENDAR  YEAR                                  FISCAL  YEAR                                                                     (FISCAL YEAR ENDING                        ) 
 
   Do  you own  rental  property  in  Akron?    YES              NO               (If yes,  we will send you a rental questionnaire upon receipt of this form.) 
    
   Do you operate more than one place of business in Akron? 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 Proprietor                      S Corp                               C Corp                                        Partnership        
                                                                                                                                                                                                                        
   Name of person responsible for filing tax forms: 
 
   Name                                                            Title                                                                                           Phone No.                                           
 
   Signature                                                                                           Date                                                                                                             
 
                                                                                                                                                                                          10/2023