BUSINESS QUESTIONNAIRE
  The following information is required to properly establish your City of Englewood income tax account. Please answer questions fully and submit this questionnaire below. Englewood's Tax Rate is 1.75%  

GENERAL INFORMATION

Business Name:
  
Federal ID of Owner:
Type of Business:
Mailing Address:
   
City, State and Zip:
Englewood Address (If different):
Phone Number:
Date Business began in Englewood:
Type of Business Ownership:
EMPLOYEE WITHHOLDING INFORMATION
Date Employees began working in Englewood:
Number of Employees in Englewood:
Are you a monthly or quarterly withholder?
 If your withholding remittance is more than $900 per quarter, you must remit on a monthly basis.
Are you a non-resident business withholding for a resident employee only?
 (Courtesy Withholding)
Date Courtesy Withholding began:
Number of Employees withholding for:
Address where work is actually performed:
ACCOUNTING INFORMATION
Accounting Period:
If Fiscal Year, ending
Contact Person:
Contact Phone:
Address (if different):
City, State and Zip:
CONTRACTOR AND SUBCONTRACTOR INFORMATION
Do you use Subcontractors?
If yes, list the Name, Address and Federal ID number(s) of the Company(ies) who contract with you.
SIGNATORY
Signer's Name:
Signer's Title:
Signer's Phone:
Email:
  
Date: