MMT - BUSINESS & PROFESSIONAL QUESTIONNAIRE
Monclova - Toledo Joint Economic Development
Zone
(MMT JEDZ) -
Division of Taxation
400 Conant Street
Maumee, OH 43537
Ph: 419-897-7120 . Fax: 419-897-8924
E-Mail: tax@maumee.org
For the purpose of our records, with regard to MMT JEDZ Income Tax (1-1/2% withholding tax on employee wages and
net profits), please complete and return this form promptly.
Thank you.
1. Trade Name: ______________________________ Phone No._______________
2. MMT JEDZ Address: __________________________ Do you own this
property? _____
If renting, give name and address of
owner: __________________________________________
3. Address where forms should be sent for withholding and net profits attributable to MMT JEDZ: ___________________________________________________________
4. Starting date of MMT JEDZ activities: ______________________________________
5. What is the location of your current activity? _______________________________
6. Type of organization: Individual Proprietor
____ Corporation___ Partnership___ LLC ___
Other (please explain)______________________________________________________
7. Accounting Period: Calendar Year _________ or Fiscal Year ending ____________
8. Are there now or will there be employees
subject to MMT JEDZ Income Tax? Yes/No Approximate number of
employees ______. Does your withholding amount to $300.00 or
more per month? $1,000 or more per month?
Yes _____(Monthly withholding is mandatory) No
_____(Quarterly is sufficient). Yes _____ (Monthly withholding over $1,000
ACH transfer is required www.maumee.org/residential/achcredit.htm,
optional to all other withholders).
9. Name of Officer (if corporation) _____________________ Fed ID#.____________
10. Name of Owner ________________________________ SS#. _______________
11. Nature of business: __________________________________________________
12. Is local address the home office or a branch? _______________________________
IF BUSINESS WAS OUTGROWTH OF ANOTHER, FILL IN THE FOLLOWING:
13. Name of former owner(s):_____________________________________________
14. Trade name:_______________________________________________________
Date: _________ Signature: __________________________ Title: _____________________