WELCOME TO THE CITY OF BLUE ASH  

As a business operating within the City of Blue Ash, it is important that you are aware of rules in the 
City Tax Ordinance which may apply to you.  The Blue Ash income tax is levied at the rate of one and 
a quarter percent (1.25%) on all qualifying wages (including sick and vacation pay), commissions and 
many other types of compensation, and the net profits from a  business or  profession. For more 
information, the City of Blue Ash Tax Ordinance and related tax forms can be obtained from the 
website at www.blueash.com.  

WITHHOLDINGS 
As an employer you are required to withhold income tax in the amount of one and a quarter percent 
(1.25%) from  the qualifying wages of employees working in Blue Ash.  Generally, the tax withheld 
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must be remitted to the Blue Ash Tax Office no later than the 15   day of the month following such 
withholding.  If your withholding liability is less than $200 per month, taxes withheld may be remitted 
quarterly no later than the last day of the month following the end of the calendar quarter. 

Additionally, if your business has associates or sales staff whose salary or other compensation does 
not require withholding, such as those on commission or  considered as self-employed or  sub-
contractors, you must furnish this office with the names and addresses of those individuals. 

NET PROFIT 
With regard to businesses or professions, the one and a quarter percent (1.25%) net profit tax applies 
to any self-employed person, partnership, S corporation, corporation, limited liability company or other 
business entity within Blue Ash or doing business in Blue Ash.  Filing is mandatory, which means that 
an annual Blue Ash Tax Return must be filed whether or not any tax is due.  This return must be filed 
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with us no later than the 15  day of the fourth month following your fiscal year end.

REGISTRATION REQUIREMENT 
To properly set up your account, please complete and return the registration on the reverse side of 
this  letter  within thirty  (30)  days. A  pdf  fill  in registration may  also  be  found  at 
www.blueash.com/departments/tax_office/forms.php. 

If you have any questions, or find that you cannot return this form within thirty (30) days, please call 
the Tax Office at 745-8516, or stop by during office hours from 8:00 AM to 4:30 PM, Monday through
Friday. 

Thank you for your cooperation and compliance with the Blue Ash Tax Ordinance. 
Sincerely, 

BLUE ASH INCOME TAX DIVISION 

City of Blue Ash                                                                                                                                     Income Tax Division 
4343 Cooper Road - Blue Ash, Ohio  45242-5699                                                                               Phone: (513) 745-8516; Fax: (513) 745-8651   
www.blueash.com                                                                                                        or Email Address:  blueashtax@blueash.com         
                                                                                                            
                  CITY OF BLUE ASH CONFIDENTIAL BUSINESS REGISTRATION 
                                                                                                            
NAME OF BUSINESS:  __________________________________                                                       FEDERAL ID/TIN NUMBER: ________________________________ 
CORPORATE ADDRESS: __________________________________                                                       CORPORATE PHONE NUMBER: ____________________________ 
                   __________________________________                                                       CORPORATE CONTACT PERSON: __________________________ 
BLUE ASH ADDRESS:  ____________________  SUITE: _______                                                     BLUE ASH PHONE NUMBER:     __________________________ 
                   __________________________________                                                       BLUE ASH CONTACT PERSON: ____________________________ 
                                                                                                            CONTACT EMAIL ADDRESS:_______________________________ 
NATURE OF BUSINESS: ____________________________________                                                    FAX NUMBER:___________________________________________ 
                                                                                                            ACCOUNTING PERIOD:  ___  CALENDAR YEAR or 
                                                                                                                 (mark one)     ___  FISCAL YEAR ENDING _________ 
TYPE OF BUSINESS (please mark one): 
 
  ___ Sole Proprietorship ___ Partnership       ___ S Corporation                                           ___ Corporation ___ Ltd. Liability Co.   ___ Non-Profit  
 
NAMES OF CORPORATE OFFICERS (IF APPLICABLE):                                                                NUMBER OF EMPLOYEES AT BLUE ASH LOCATION: ___________ 
PRESIDENT: ____________________     SS# _________________                                                   APPROXIMATE MONTHLY PAYROLL: ________________________ 
TREASURER: ___________________      SS# _________________                                                   NUMBER OF LEASED EMPLOYEES AT BLUE ASH LOCATION: _____ 
LEASED EMPLOYEES?         SERVICE NAME                                                                                                                     
ADDRESS                                                                                                     PARTNERS (IF APPLICABLE): 
                                                                                                                 Name                 Address             SS# 
 STARTING DATE OF BLUE ASH ACTIVITY: ________________                                                       1. ________________ ___________________   _______________ 
 ARE THE PREMISES IN BLUE ASH RENTED/LEASED? ______                                                         2. ________________ ___________________   _______________ 
 IF YES, FROM WHOM?:_________________________________                                                       3. ________________ ___________________   _______________ 
 _____________________________________________________ 
  
NON-RESIDENT BUSINESS (CONTRACTORS, VENDORS, ETC.) TEMPORARILY CONDUCTING BUSINESS IN BLUE ASH: 
ADDRESS OF BLUE ASH JOBSITE:__________________________________________________________________________________________ 
                                    ATTACH COMPLETE LISTING WITH ADDRESSES AND PHONE NUMBERS OF ALL SUBCONTRACTORS 
 
I CERTIFY THE ABOVE INFORMATION TO BE TRUE, COMPLETE, AND ACCURATE. 
 
SIGNATURE: _____________________________ TITLE _____________________                                            DATE _________________ 
 
Please return completed form to:  Blue Ash Tax Office, 4343 Cooper Road, Blue Ash, OH 45242-5699 or fax to (513) 745-8651