Form Cat Ff - Request To Change Filing Frequency
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CAT FF
Rev. 1/13
Request to Change
P.O. Box 16158
Filing Frequency
Columbus, OH 43216-6158
Please do not use staples.
CAT account number
FEIN or Social Security number
Use only UPPERCASE letters.
Reporting member's name
Please check the appropriate box below:
Quarterly fi ling frequency
A taxpayer switching from a calendar year fi ling frequency to a calendar quarter fi ling frequency may, for the fi rst quarter
of the change, apply the full $1 million exclusion amount to the fi rst calendar quarter return the taxpayer fi les that calendar
year. Such taxpayers may carry forward and apply any unused exclusion amount to subsequent calendar quarters within
that same calendar year. The tax rate shall be based on the rate imposed in the calendar quarter in which the taxpayer
switches from a calendar year taxpayer to a calendar quarter taxpayer. Effective date (MM/DD/YY):
Annual fi ling frequency
Annual fi ling frequency is effective in the current calendar year if the request is approved by the tax commissioner before
the due date of the annual minimum tax (due May 10 of each year). Otherwise, the annual fi ling frequency is effective the
following calendar year. Effective date (MM/DD/YY):
NOTE: By checking the box above, the taxpayer affi rms that it will have less than $1 million in taxable gross receipts for
the current calendar year.
SIGN HERE (required)
I declare under penalty of perjury that I am the taxpayer or the taxpayer’s authorized agent having knowledge of the
relevant facts in this matter to fi le this request to change fi ling frequency.
Signature
Date (MM/DD/YY)
Name
Title
Contact person: The taxpayer will be represented in the matter by the following individual. Please attach a Declaration
of Tax Representative (Ohio form TBOR 1), which can be found on the department’s Web site at tax.ohio.gov.
Your fi rst name
M.I.
Last name
Home address (number and street)
City
State
ZIP code
Telephone
Fax
Title
E-mail
Please send this request to: Ohio Department of Taxation, CAT Division,
P.O. Box 16158 Columbus, OH 43216-6158 or fax to (614) 644-9641.
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