Form St 900 - Application For An Ohio Direct Payment Permit
ADVERTISEMENT
1
2PRESCRIBED
SALES TAX FORM
ST 900 (Rev. 4-2005)
APPLICATION FOR AN OHIO DIRECT PAYMENT PERMIT
Department of Taxation
Audit Division
P.O. Box 530
Columbus, OH 43216-0530
The undersigned consumer hereby makes application pursuant to Ohio Revised Code (R.C.) Section 5739.031, for authority to
pay the sales tax levied by R.C. Sections 5739.02, 5739.021, 5739.023, and 5739.026, and the use tax levied under R.C.
Sections 5741.02, 5741.021, 5741.022 and 5741.023.
Please type or print clearly. Please complete all sections or the application may be denied.
1.
Legal Entity Name
Trade Name
2.
Tax return mailing address
3.
Person to contact regarding application
(include telephone no. and e-mail address)
4.
Federal employer identification number, or if none
FEIN
Social Security No.
assigned for reporting federal taxes, please enter your
social security number.
5.
Check whether business operates as:
Sole Proprietor
; Partnership/LLP
; C Corporation
;
Fiduciary
;
Limited Liability Company
;
S Corporation
6.
If it is a partnership/LLP or limited liability company, provide the names and addresses of the partners or members:
Name
Street Address
City, State
Zip Code
Name
Street Address
City, State
Zip Code
Name
Street Address
City, State
Zip Code
If more than three, attach a separate sheet listing the remaining partners/members’ information and check box
7.
If it is a C corporation or an S corporation, provide the names and addresses of the officers:
Name/Title
Street Address
City, State
Zip Code
Name/Title
Street Address
City, State
Zip Code
Name/Title
Street Address
City, State
Zip Code
If more than three, attach a separate sheet listing the remaining officers’ information and check box
Page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form St-p-3 - Maine Revenue Services Direct Payment Permit - State Of Maine State Tax Assessor
Financial
Related Categories
Parent category: Financial