For Office Use Only       
ACCT # 
 
Date:                              

                                                               City of Toledo 
                                                               Division of Taxation  
                One Government Center, Ste 2070, Toledo, OH 43604, Office (419) 245-1662, FAX (419) 936-2320 
                                                                Email:  incometax@toledo.oh.gov 
                                      New Business Registration Form 
 
Business/Account Type:  
          (R)                                     (B)                              (C)                   (B)                      (W) 
 Schedule C or E                   Form 1065          Form 1120/1120S Form 1041         Withholding      
        
______________________________________________________                                     _______________________________________________________ 
FEDERAL TAX ID # (If Applicable)                                                           Toledo Business Name 
 
______________________________________________________                                     _______________________________________________________   
Business Name                                                                              Toledo Address (if different) 
 
______________________________________________________                                     _______________________________________________________ 
Business Address                                                                           Toledo Address City, State, Zip 
 
______________________________________________________                                     _______________________________________________________ 
Business City, State, Zip                                                                  Mailing Address (if different) 
 
______________________________________________________                                     _______________________________________________________ 
Business Phone #                                                                           Mailing Address City, State, Zip 
 
______________________________________________________                                     _______________________________________________________ 
Business Fax #                                                                             Email Address 
 
1. Starting date of Toledo activities _________________________________________ 
 
2. Are there now or will there be employees subject to Toledo income tax?  Yes______ No______   
                
    Will you be filing monthly (withholding > $200/month)? Yes ______ No ______   Payroll starting date _______________ 
 
3. Accounting period: Calendar Year? ___________ or Fiscal Year Ending ________________________________ 
 
4. Nature of business _________________________________________________________________________________ 
 
5. If your address is not in Toledo, do you conduct business within Toledo city limits?   Yes_________   No_____________ 
 
Corporate Officers: 
Name                                                          Residential Address                                                     Social Security #:  
 
President: ________________________________________________________________________________ 
 
Treasurer: ________________________________________________________________________________ 
 
Partners: (attach additional sheets if necessary):  
Name                                                          Residential Address                                                     Social Security #: 
 
_________________________________________________________________________________________ 
 
_________________________________________________________________________________________ 
 
_________________________________________________________________________________________ 
  
Sole Proprietor: (including Single Member LLC): 
Name                                                          Residential Address                                                     Social Security #: 
 
_________________________________________________________________________________________ 
 
Signature ___________________________________________                                        Title_____________________________________ 
 
Printed Name ________________________________________                                        Date ____________________________________