BUSINESS & PROFESSIONAL QUESTIONNAIRE
City of Maumee - Division of Taxation
400 Conant Street
Maumee, OH 43537
Ph: 419-897-7121 .
Fax: 419-897-8924
E-Mail: tax@maumee.org
For the purpose of our records, with regard to Maumee 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. Maumee 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 Maumee: ___________________________________________________________
4. Starting date of Maumee 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 Maumee Income Tax? Yes/No Approximate # of employees _____. Does your withholding amount to $300.00 or more per month? Yes _____ (Monthly withholding is mandatory) No _____ (Quarterly is sufficient).
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? _______________________________
13. Attach list of subs-name, address and type of
work (required by Ordinance)
14. If you are withholding Maumee income tax as a
convenience for employees who do not work in but reside in
Maumee, please check here _____
Signature:
__________________________
Date: ______________________
Title: _____________________