Employer'S Withholding Registration Form - City Of Ionia Income Tax Divison

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CITY OF IONIA
INCOME TAX DIVISON
EMPLOYERS FEDERAL
PO BOX 512 114 KIDD STREET IONIA MI 48846
IDENTIFICATION NUMBER
EMPLOYER'S WITHHOLDING REGISTRATION
TRADE NAME
MAILING ADDRESS
OWNERS NAME
IONIA ADDRESS
TYPE OF ORGANIZATION
___INDIVIDUAL OWNER
____PARTNERSHIP _____CORPORATION ____NONPROFIT ____OTHER (ATTACH EXPLANATION)
lOCAL PHONE NUMBER
NUMBER OF EMPLOYEES
DATE BUSINESS AQUIRED
DATE FIRST PAID WAGES SUBJECT TO WITHHOLDING
WAS THIS BUSINESS PREVIOUSLY OPERATED BY ANOTHER EMPLOYER?
GIVE NAME
ACCOUNTING PERIOD ___CALENDAR YEAR
___FISCAL YEAR ENDING________
PLEASE CHECK RESIDENT BUSINESS OR NONRESIDENT BUSINESS
____RESIDENT BUSINESS-- LOCATED INSIDE IONIA CITY LIMITS AND/OR DOING BUSINESS OR PERFORMING SERVICES INSIDE IONIA CITY
LIMITS. A RESIDENT BUSINESS IS REQUIRED BY THE UNIFORM CITY INCOME TAX ORDINANCE TO WITHHOLD AND REMIT CITY INCOME TAX
ON RESIDENT AND NONRESIDENT EMPLOYEES AND FILE A W-3 WITH W-2'S BY FEBRUARY 28 OF EACH TAX YEAR.
___NONRESIDENT BUSINESS-- A BUSINESS WITHHOLDING IONIA CITY INCOME TAX FOR RESIDENTS OF THE CITY OF IONIA WHO WORK AT A
BUSINESS LOCATED OUTSIDE CITY LIMITS. THIS BUSINESS IS REQUESTING TO BE ALLOWED TO WITHHOLD FROM CITY OF IONIA RESIDENTS
WORKING AT THIS BUSINESS AND AGREE TO REMIT QUARTERLY WITHHOLDING PAYMENTS AND YEAR END W-3 WITH W-2S AS IS REQUIRED
BY THE UNIFORM CITY INCOME TAX ORDINANCE.
________________________________________
______________________
________________________
SIGNATURE
TITLE
DATE
CITY OF IONIA
INCOME TAX DIVISON
EMPLOYERS FEDERAL
PO BOX 512 114 N KIDD ST IONIA MI 48846
IDENTIFICATION NUMBER

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