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AKRON INCOME TAX DIVISION
BUSINESS QUESTIONNAIRE
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
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.
TAX OFFICE USE ONLY
Date issued ______________________________
Auditor __________________________________
Account #______________________________ __
Account # ________________________________
Akron Dist ____________ Ind Code__________
BUSINESS NAME ____________________________________________________________________________________________________________
MAILING (MAILING ADDRESS ADDRESSFOR TAX PURPOSES__________________________________________________________________________________________________________… ADDRESS OF OUTSIDE ACCOUNTANT SHOULD NOT BE USED)
BEGINNING DATE OF AKRON ACTIVITY _______________________________________________ TELEPHONE # _________________________
BUSINESS ADDRESS IN AKRON ______________________________________________________________________________________________
AKRON TELEPHONE # _____________________________ IS AKRON: THE HOME OFFICE? ________ A BRANCH OFFICE?________
If there is no Akron address, are any net profits attributable to Akron? YES NO
TRADE NAME (if any) _________________________________________________________________FED ID _________________________________
FEDERAL BUSINESS ACTIVITY CODE:_________________ NATURE OF BUSINESS____________________________________________________
TYPE OF ORGANIZATION : Sole Proprietor S Corp C Corp Partnership OTHER _____________________________
__________________________________________________________________________________________________ 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__________________________________________
2/1/2022
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