Business Questionnaire Form - City Of Monroe

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CITY OF MONROE
P.O. BOX 629
MONROE, OHO 45050
513-539-7374
513-539-6209 FAX
BUSINESS QUESTIONNAIRE
NAME OF BUSINESS __________________________________________________________
DBA _________________________________________________________________________
BUSINESS ADDRESS (MONROE) _______________________________________________
______________________________________________________________________________
MAILING ADDRESS (IF DIFFERENT) _____________________________________________
_______________________________________________________________________________
A) DO YOU OWN THE PROPERTY WHERE YOUR BUSINESS IS LOCATED?
YES
NO
B) IF NO, GIVE THE NAME AND ADDRESS OF LANDLORD ________________________
______________________________________________________________________________
BUSINESS TELEPHONE # _______________________________________________________
CONTACT PERSON ____________________________________________________________
OPENING DATE OF BUSINESS (MONROE) ________________________________________
SOCIAL SECURITY # OR FEDERAL ID # __________________________________________
NAME OF OFFICER(S) (CORPORATION) _______________________________________
NATURE OF BUSINESS _________________________________________________________
ACCOUNTING PERIOD
CALENDAR YEAR
FISCAL YEAR ENDING ______________
NUMBER OF EMPLOYEES AT THE MONROE ADDRESS ____________________________
METHOD OF FILING PAYROLL TAXES (PLEASE CHECK ONE):
MONTHLY (MANDATORY IF OVER $200.00 PER MONTH)
QUARTERLY
IF USING A PAYROLL COMPANY, GIVE NAME: ___________________________________

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