Ohio Commercial Activity Tax Registration

Commercial Activity Tax Registration
CAT_CAT1_PT1_FI_111711.indd
CAT 1
Rev. 11/23
Page 1

Reset Form
P.O. Box 16158
Columbus, OH 43216-6158
tax.ohio.gov

Commercial Activity Tax Registration
Please complete in black or blue ink – do not use pencil.

Federal employer identification number

1. Type of organization (check only one):
LLP	

For state use only

Social security number (if no FEIN)

LTD (non-U.S.)	

Association/trust	

C corporation	

LLC	

Partnership	

QSSS	

S corporation

(other than LLP)

Single-member
LLC				

Sole proprietorship	

Other (please describe)

If you selected anything other than sole proprietor, please complete Schedule A.
2. When did you first become subject to the commercial activity tax? (MM/DD/YY)
3. Annual amount of taxable gross receipts anticipated?
Less than $1 million	

$1,000,000 - $3,000,000	

$3,000,001 - $6,000,000	

Over $6 million

  4.	 Are
	 you a consolidated elected taxpayer, a combined taxpayer or a single entity taxpayer? Check only one.
Single entity
Consolidated elected	
Consolidated elected
Combined
taxpayer
with 80% ownership	
with 50% ownership
By checking either consolidated box above, the entities listed on Schedule B of this registration hereby
elect to file a consolidated return.
		If you are consolidated, are you including your non-U.S. entities (same ownership election as above)?
Yes	
No	
N/A (currently do not have any non-U.S. entity)
5. If you are a consolidated elected taxpayer or a combined taxpayer, please enter the total number of
members, including yourself, and complete Schedule B (attached).
6. A. Legal name of entity (sole proprietor complete 4B):
B. Sole proprietor:
Last name	

First name	

M.I.

7. Trade name or DBA:

Date Received
(For state use only)

M M D D Y Y
– over –

Federal employer identification number

CAT 1
Rev. 11/23
Page 2

Social security number

8. Primary address:
Address of taxpayer’s principal office

City	

State	

ZIP code

State	

ZIP code

Country (if other than U.S.A.)

9. Contact information
Mailing address (if different from primary)

City	

Country (if other than U.S.A.)

Office/home phone number	

Office/home fax number	

E-mail address

10. List the state
or country
under whose laws the taxpayer is organized (if applicable).
	11. If you are registered with the Ohio Secretary of State, enter your charter number, registration number or
license-to-conduct-business number:
	12. NAICS code:

(For most current NAICS listing, visit us at tax.ohio.gov)

I	 hereby declare that this form has been examined by me and to the best of my knowledge and belief is true, correct, and
complete.

Name of applicant or agent (please print)	

Signature	

Date (MM/DD/YY)	

Options to submit this application: Electronically: tax.ohio.gov – Contact Us - Online Notice Response
Service or gateway.ohio.gov – Online Notice Response Service: eFax – 206-666-4462; Mail: Ohio
Department of Taxation, Business Tax Division - CAT 1, P.O. Box 16158, Columbus OH 43216-6158

CAT 1

Schedule A
Rev. 11/23
P.O. Box 16158
Columbus, OH 43216-6158
tax.ohio.gov

Schedule A – Commercial Activity Tax (CAT)
Schedule A is to be completed by all taxpayers other than sole proprietorships. Please list the required information for either the corporate officers,
partners or members. If you are a consolidated elected taxpayer or a combined taxpayer, list the information only for the primary entity.
Name of filer:
(as shown on line 4)

FEIN:	
Indicate: Officer*, general partner,
managing partner or member

*

SSN:	

CAT account no. (if issued) for primary entity:

Name
FEIN	

President, vice president, secretary, treasurer, statutory agent

SSN	

Address

Country

City	

State	

ZIP code

CAT 1

Schedule B
Rev. 11/23
P.O. Box 16158
Columbus, OH 43216-6158
tax.ohio.gov

Schedule B – Commercial Activity Tax (CAT)
Members of Consolidated Elected Taxpayers or Combined Taxpayer
A consolidated election will remain in effect for eight calendar quarters and is automatically renewable unless cancelled by the registrant
or revoked by the tax commissioner. Please complete the information below for each member of the consolidated elected or combined group.
Primary entity of consolidated or combined group:
(as shown on line 4)

FEIN:	

CAT account no. (if issued) of primary
entity of consolidated or combined group:

SSN:

Federal Employer ID No.	 Social Security No.	
	

Address			

Name of Member of Consolidated Elected Taxpayer or Combined Taxpayer	

City	

Trade name or DBA		

Country	

State	

ZIP code	

Type of organization1

State of organization

NAICS code2

Country of organization

I hereby declare that this form has been examined by me and to the best of my knowledge and belief is true, correct, and complete.
Date (MM/DD/YY)	
1
2

Signature of applicant or agent	

Organization type (association/trust, C corporation, LLC, LLP, LTD (non-U.S.), partnership, S corporation, sole proprietorship, other)
For NAICS codes visit tax.ohio.gov

Please make additional copies
of this schedule as necessary.