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                                                                                             Commercial Activity Tax (CAT) 
                                                                                             Account’s Change in Mailing 
                                                                                             or Location Address Form

                                     Please cut along the dotted line. – DO NOT USE PENCIL to complete this form.
                                                                                                                           Form
      Commercial Activity Tax (CAT) Account’s Change in Mailing or Location Address Form                                   CAT 3C
                       Please use this form to report any changes in your mailing or location address.                     Rev. 12/11

                                                                                          New Mailing and Location Address:
CAT Account No.
                                                                          Name
Social Security No.
                                                                          C/O or DBA
or
Federal Employer ID No.                                                   New mailing address
Previous Business Name and Mailing Address
 Name                                                                     City State  ZIP code

 C/O or DBA                                                               Physical location (street address and number)

 Mailing address                                                                              
                                                                          City State  ZIP code
 City                   State             ZIP code
                                                                          Telephone number

Mail to: Ohio Department of Taxation                                      E-mail
         P.O. Box 16158
         Columbus, OH  43216-6158






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