Business Type Reason for Registration
Courtesy withholding for an employee's resident municipality
S-Corp Estate & Trust Doing business within the municipality this year (temporary)
Sole Proprietor / LLC Approx. # of days Start Date
Business with a fixed location
(List physical address of work performed within this municipality)
Name: Federal ID #:
(for withholding tax forms / if different from above)
(for net profit tax forms / if different from above)
Calendar year Fiscal year / month ending
Do you have any employees? Yes No
Number of employees at RITA location
My withholding is filed under a 3rd party account (PEO or common paymaster)
Monthly gross payroll at RITA location $
I am a small employer (under $500,000 in gross revenue during previous year)
Will you be using sub-contractors?
Total contract amount of the project $
The Information Hereby Submitted is True and Correct.
*Please note that your Federal Identification Number will serve as your RITA account number.
Date business began at this location
(required if sole proprietor)
If yes, list Federal ID #
Please complete and sign this Registration Form and return within 10 business days. Please be advised that failure to timely register with RITA may result in delays in the
processing of any required income tax filings or may result in future penalty and interest charges, if applicable. If you have any questions please contact the Registration
Department at the number below.
Call: 800.860.7482, ext. 5008
Mail to: RITA
ATTN: BUSINESS REGISTRATION
P.O. BOX 477900
BROADVIEW HEIGHTS, OH 44147-7900
Regional Income Tax Agency
Business Registration Form
Access ritaohio.com to register electronically using MyAccount. Login to
MyAccount to Add a Municipality or Add Subcontractor. These features allow
you to report a new location or new subcontractor project electronically.