Fillable Form 07100100: IT 1 Application for Registration as (State of Ohio)

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Form 07100100: IT 1 Application for Registration as (State of Ohio)

On average this form takes 8 minutes to complete

The Form 07100100: IT 1 Application for Registration as (State of Ohio) form is 1 page long and contains:

  • 0 signatures
  • 4 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Ohio

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FederalEmployerIdentificationNumber
Check here to reactivate an account Provide account number to reactivate.
1. Checktypeofownership:SoleownerPartnershipCorporationNonprotLLCLLPLTD
SinglememberLLC Other(pleasespecify)
2. DateoffirstOhiopayroll (MM/DD/YY)
3. Provide NAICS code and state nature of business activity
4. Legalnameofbusiness
5. TradenameorDBA
6. Primary address of business
7. Mailingaddress
8. Check the box applicable to your estimated employer withholding remittance amount per year:
$2,000orless Greaterthan$2,000,butlessthan$84,000Atleast$84,000
9. InformationforindividualresponsibleforlingreturnsandmakingpaymentofOhioandschooldistrictwithholdingtaxes:
10. Name,phonenumber,faxnumberande-mailaddressofindividualthedepartmentshouldcontactregardingthisaccount
Date
Phone number
Signatureofapplicant
P.O. Box 182215
Columbus, OH 43218-2215
(888) 405-4089
07100100
Secretary of State Entity Number
Street
City State ZIPcode
Street City State ZIPcode
Businessphone number Secondary phone number
IT 1
Application for Registration
as an Ohio Withholding Agent
Rev.11/17
Name Title
Phonenumber
SSN/ITIN
(Forthemostcurrentlisting,search
NAICS on our website at tax.ohio.gov)
Name
Faxnumber
E-mailaddress
(Fordepartmentuseonly)
Street City State ZIPcode
Federal Privacy Act Notice
BecausewerequireyoutoprovideuswithaSocialSecuritynumber,theFederal Privacy
Act of 1974 requiresustoinformyouthatprovidinguswithyourSocialSecuritynumberis
mandatory.OhioRevisedCodesections5703.05,5703.057and5747.08authorizeusto
requestthisinformation.WeneedyourSocialSecuritynumberinordertoadministerthistax.
Fax number
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Form 07100100: IT 1 Application for Registration as (State of Ohio)

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Completed 9 March 2021

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