Centerville, OH · Gallia County

No notary required

Business Income Tax Registration

Businesses use this registration form to provide the City of Centerville with business, ownership, employee, and income tax information.

What this form is

This form provides the City of Centerville with official income tax information for a business operating in the city. It asks for the business name, location, type, start date, accounting period, employee and withholding details, ownership information, and contacts for tax reports. The form says to return the completed registration within 15 days and requests a signature and date.

Who needs it

A business operating in Centerville can use this form to provide the city with its business, ownership, and employee tax information.

How to submit it

Return the completed form within 15 days to City of Centerville, 100 West Spring Valley Road, Centerville, OH 45458; the form also lists fax 937-433-0310.

About notarization

This registration is signed and dated without a notary; the form lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Business Income Tax Registration PDF.

  2. 2

    Complete The Registration

    Fill in the business, ownership, employee, withholding, and contact information requested on both sides.

  3. 3

    Gather Any Required List

    If applicable, attach a list of people subject to Centerville income tax from whom the business does not withhold city income tax.

  4. 4

    Sign And Date

    Confirm the information is true and correct, then provide the requested signature and date.

  5. 5

    Return The Form

    Return it within 15 days to the city address on the form or use the listed fax number.

Frequently asked questions

What information does the Business Income Tax Registration request?
It asks for business identification and location, business type, start date, accounting period, employee and withholding details, ownership information, and contacts for tax reports.
How do I submit the Business Income Tax Registration?
Return the completed form within 15 days to City of Centerville, 100 West Spring Valley Road, Centerville, OH 45458. The form also lists fax 937-433-0310.
Do I need a notary for the Business Income Tax Registration?
No. The form asks for a signature and date, but does not include a notary block or identify a notarized attachment or sworn step.

Need something notarized?

This Business Income Tax Registration doesn’t need a notary — but if you have another Centerville form that does, a commissioned online notary can help.