What information does the business registration form request?

It asks for business and contact details, business type, employee and payroll information, withholding responses, and the name of the person responsible for filing forms.

Do I need a notary for the business registration form?

No. The form asks the responsible person to sign and date it. It does not list a notarized attachment or sworn step.

How do I submit the business registration form?

The form lists CCA’s address at 205 W Saint Clair Ave, Cleveland, OH 44113-1503, and fax number 216-420-8316, but does not specify a submission method.

Do sole proprietors need another registration form?

Yes. The form states that sole proprietors must also complete an individual registration form.

Burton, OH · Geauga County

No notary required

Withholding and Business Registration Form

Businesses operating in a CCA member community use this form to register business details and report municipal income tax withholding information.

What this form is

This form collects business registration details and information about municipal income tax withholding for a business in a CCA member community. It asks for the business name, address, identification number, business type, employee and payroll details, and the person responsible for filing forms. Sole proprietors are directed to complete an individual registration form as well.

Who needs it

A business in a CCA member community that is registering its business details or reporting whether it will withhold employment or residence taxes may use this form.

How to submit it

The form lists CCA at 205 W Saint Clair Ave, Cleveland, OH 44113-1503, and fax 216-420-8316; it does not state a submission method.

About notarization

This document is signed without a notary; the form asks the responsible person to sign and date it, with no notarized attachment or sworn step listed.

How to submit this form

1
Download The Form
Download the business registration and withholding form.
2
Complete Business Details
Fill in the requested business, contact, business type, employee, payroll, and withholding information.
3
Complete Individual Registration If Needed
If you are a sole proprietor, complete the individual registration form as directed.
4
Sign And Date
Have the person responsible for filing forms sign and date the registration.
5
Send To CCA
Use the CCA address or fax listed on the form; it does not specify a submission method.

Frequently asked questions

What information does the business registration form request?: It asks for business and contact details, business type, employee and payroll information, withholding responses, and the name of the person responsible for filing forms.
Do I need a notary for the business registration form?: No. The form asks the responsible person to sign and date it. It does not list a notarized attachment or sworn step.
How do I submit the business registration form?: The form lists CCA’s address at 205 W Saint Clair Ave, Cleveland, OH 44113-1503, and fax number 216-420-8316, but does not specify a submission method.
Do sole proprietors need another registration form?: Yes. The form states that sole proprietors must also complete an individual registration form.

Need something notarized?

This Withholding and Business Registration Form doesn’t need a notary — but if you have another Burton form that does, a commissioned online notary can help.