WITHHOLDING AND BUSINESS REGISTRATION


CCA - MUNICIPAL INCOME TAX

If registration is for individuals, you must complete the Individual Taxpayer Registration form.
Field/sections marked with an asterisk (*) are Required

CCA Business Registration Details *
Date Business Started
in CCA Community
 Business Type
Sole Proprietor SSN
Federal ID No (FEIN)
Officer's Name
Owner's Name

Business/Corporate NameDBA
Principal Business Code
Fiscal Period ending Month
Primary Address
  No. Street Apt/Suit No.
City State Zip Bus Phone
Country
Mailing Address   Same As Primary Address (uncheck the box if different)
 
Address of outside Accountant should not be used
No. Street Apt/Suit No.
City State Zip
Country
Withholding Information
No Withholding
First Payroll Date
in CCA Community
 Withholding Employment tax  What CCA Cities? hold ctrl to select multiple
 
Withholding Residence tax  What Residence Cities? hold ctrl to select multiple
 
Do you Withhold more
than $200? *
 YES - Remit Monthly
NO  - Remit Quarterly
Withholding Address  
No. Street Apt/Suit No.
City State Zip
Country
Name of the person responsible for filing withholding forms:
Title Ph email address
Authorization *
Human Verification code
Enter the code EXACTLY from image displayed (No spaces)
By checking here, I agree that the information on this form is accurate to register as a taxpayer for CCA.

 
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