Jackson Center, OH · Shelby County
Business Registration Form
Businesses use this form to register a location, employee withholding, or contractor activity with the municipality through the Regional Income Tax Agency.
What this form is
This form registers a business with the Regional Income Tax Agency for activity in the municipality, including a fixed location, temporary business activity, or courtesy withholding for an employee. It asks for business and contact details, filing status, employee and payroll information, and contractor and subcontractor project details when applicable. The form says to complete and sign it and return it within 10 business days.
Who needs it
Businesses with activity in the municipality, including contractors and employers registering employee withholding, use this form.
How to submit it
Mail the completed form to RITA, Attn: Business Registration, P.O. Box 477900, Broadview Heights, OH 44147-7900, or fax it to 440-922-3536. The form also says to register electronically through MyAccount at ritaohio.com.
About notarization
This document is signed without a notary; the signer just signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Business Registration Form for business activity in the municipality.
- 2
Complete the Form
Enter business, filing, employee, payroll, and contractor details that apply.
- 3
Add Subcontractor Details
If applicable, complete page 2; attach a separate schedule with all required information if more space is needed.
- 4
Sign and Submit
Sign and date the form, then mail or fax it to RITA, or register electronically through MyAccount.
Frequently asked questions
- What is the Business Registration Form used for?
- It registers business activity in the municipality with the Regional Income Tax Agency, including a business location, employee withholding, or contractor project.
- What information does the form ask for?
- It requests business identification and address details, filing status, employee and payroll information, and contractor and subcontractor project information when applicable.
- How do I submit the Business Registration Form?
- Mail it to RITA, Attn: Business Registration, P.O. Box 477900, Broadview Heights, OH 44147-7900, fax it to 440-922-3536, or register electronically through MyAccount at ritaohio.com.
- Do I need a notary for the Business Registration Form?
- No. The form is signed and dated without a notary, and it does not identify a notarized or sworn attachment.