REGISTRATION FOR ALBION CITY INCOME TAX 
                                              
It is important that you complete all items on this registration form. Incomplete information will delay 
processing. Read all instructions carefully before you begin. 
 
Complete this registration form if you: 
         Are starting a new business or reinstating an old business. 
         Purchased an existing business. 
         Need to register for any of the Albion taxes listed below. 
         Changed the type of business (example: from sole proprietorship to partnership, or 
        incorporating a sole proprietorship or partnership). 
 
►Register for Albion withholding tax if you: 
         Are an employer located in Albion 
         Are located outside Albion and have employees who work in Albion 
         Employ an Albion resident, regardless of where the employee’s work is performed. 
 
Individual owners and partners cannot remit withholding on their wages.  Contact the City of Albion for 
information and forms for reporting and paying quarterly estimates. 
 
►Register for Albion corporate income tax if the corporation is doing business in the city, whether or not it has 
an office or place of business in the city and whether or not it has net profits. The corporation must file an 
annual City of Albion Corporate Income Tax Return (AL-1120). 
 
►Register for Albion partnership income tax if the partnership is doing business in the city, whether or not it 
has an office or place of business in the city and whether or not it has net profits. The partnership must file an 
annual Albion Income Tax Partnership Return (AL-1065). 
 
Partnerships have the option to file either an information return or pay the tax which is due with respect to each 
partner’s share of the net profits of the business. The partnership may pay the tax for partners only if it pays for 
ALL partners subject to tax. 
  
Taxes may be paid by check or ACH payments.  Mail completed registration to: 
 
        City of Albion 
        Income Tax Department 
        112 W Cass St 
        Albion, MI  49224 
 
Tax forms may be downloaded by going to the city website www.cityofalbionmi.gov then clicking on the link to 
City Income Tax Forms. 
 
The income tax department may also be reached by phone: 517-629-7865. 
 
                                                                                                         Revised 11/05 
 

                 REGISTRATION FOR ALBION TAXES                                     1. Federal Employer Identification Number (FEIN) if applicable
                             Revised 11/05 
2. Complete Company Name or Owner's Full Name (Include, if applicable, Corp., Inc., P.C., L.L.C., L.L.P., ect.)

3. Business Name, Assumed Name or DBA (as registered with the county)

4. Address where all legal contact should be made. Enter number and street.                                    Business Telephone 

City, State, ZIP                                                                                               County 

5     Type of Business Ownership (check one only) 

      Individual                           Partnership                        Albion Corporation               Other (Explain): 

      Husband-Wife                         Limited Liability Co.              Non-Albion Corporation 

6. Which taxes do you expect to owe Albion?           What date will that liability begin?      How much of each tax do you estimate you will owe each month? 

      Income Tax Withholding                            |                   |                  $0      Up to $65          Up to $300            Over $300 
                                                                   Day           Year 
      Corporation Income Tax                            |                 |                    Albion Business Location Address: 
                                             Mo.                   Day           Year 
      Partnership Income Tax                            |                 | 
                                                 Mo.               Day           Year          Estimated  number of employees subject to Albion withholding: 
You must complete all information for each owner, partner, member or corporate officer. Attach a separate list if necessary. 
7A. Name (Last, First, Middle, Jr/Sr/ III)                                                       Home Telephone 
Title                                                                                            Date of Birth 
                                                                                                 Social Security Number 
City, State, ZIP                                                                                 Driver License/ Michigan Identification 
7B. Name (Last, First, Middle, Jr/Sr/ III)                                                       Home Telephone 
Title                                                                                            Date of Birth 
Residence Address (Number, Street)                                                               Social Security Number 
City, State, ZIP                                                                                 Driver License/ Michigan Identification 

8. Do you close your tax books on Dec. 31?           If no, give month of closing. 
      Yes        No 

9. What is the reason for this application?
      Started a new business               Incorporated an existing business       Purchased an existing business         Other (please explain) 
10. Name of previous owner(s) or corporation                                       11. Previous Owner's FEIN (if known)

This registration must be signed by the owner(s), two partners, two corporate officers, two members of a limited liability company or 
their authorized representative. Applications without signatures will be returned. 
I declare, under penalty of perjury, that I have examined this registration and its attachments and they are true and complete to the 
best of my knowledge. 
Type or print name of owner or officer responsible for filing returns and making tax payments.       Title 

Signature                                                                                            Phone                                 Date 

Type or print name of second owner; partner; officer or member                                       Title 

Signature                                                                                            Phone                                 Date 

Preparer's name and address if different from above                                                  Phone                                 Date