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Step One

Business Questionnaire
The following information is required to properly establish your City of Englewood income tax account. Please answer questions fully and submit this questionnaire below. Englewood's Tax Rate is 1.75%
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Date Employees Began Working in Englewood
Date Employees Began Working in Englewood
Number of Employees in Englewood
Are you a monthly or quarterly withholder?
If your withholding remittance is more than $900 per quarter, you must remit on a monthly basis.
Are you a non-resident business withholding for a resident employee only?
(Courtesy Withholding)
Are you withholding for an Englewood Resident working from home?
Date Courtesy Withholding Began
Date Courtesy Withholding Began
Address where work is actually performed
City
State
Zip Code
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Do you use Subcontractors?
If yes, list the Name, Address and Federal ID number(s) of the Company(ies) who contract with you.
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Signer's Name*
Signer's Title
Signer's Phone*
Email*
I request that the Englewood Tax Department communicate with me using the above email via a secure email account*
Date*
Date

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