Form Bq-07 - City Of Canfield Business And Professional Questionnaire Form

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CITY OF CANFIELD BUSINESS AND PROFESSIONAL QUESTIONNAIRE
104 LISBON STREET, CANFIELD, OHIO 44406 - 330-533-1101 - INCOME TAX DEPARTMENT
DATE: _______________
To establish and maintain accurate records, the Income Tax Ordinance requires that you complete and return this form.
1. Federal I.D. No. ________________________
Soc. Sec. No. ________________________
2. Local name and address as used for business purposes:
Trade Name ________________________________________
Location ____________________________________
3. Nature of business conducted _______________________________________________________________________
4. Date business moved to or opened in City of Canfield ____________________
5. Date property purchased _______________
6. Date began work in/for the City of Canfield _______________
7. Check accounting period used for Federal Income Tax Purposes:
______ Calendar Year ending Dec. 31
______ Fiscal Year ending month of ____________________
8. Do you employ one or more persons? ______
9. Will you withhold $100.00 or more per month in Canfield City income tax? _____________
10. Do you employ persons from whom no Canfield City tax is withheld? _____ If Yes, attach a list with name, address, and
SSN of each person.
11. If a payroll service is used please give name of service _______________________
12. Type of ownership: ____ Individual Proprietorship ____ Corporation ____ S Corp ____ Partnership ____ LLC
____ Non-Profit Corporation ____ Other: ________________________________
13. If partnership, association, or other unincorporated joint business venture, not located within the City limits, how will the
Canfield Tax Return be filed upon net profit?
___ In full by business. ___ Separately by individual partners on their proportionate shares (list partners on page 2, #16).
IF LOCATED IN THE, CITY THE PASS-THROUGH ENTITY MUST FILE.
14. Send Business Net Profit Form to:
Send Withholding Forms To:
Name __________________________________________ Name __________________________________________
Care of _________________________________________ Care of _________________________________________
Address ________________________________________ Address ________________________________________
City __________________ State _____ ZIP ____________ City __________________ State _____ ZIP ____________
C O M P L E T E Q U E S T I O N S O N P A G E T W O A L S O

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