This form is intended for use by

- Business entities that are new to the City of Perrysburg

- Non-resident business that wishes to establish an account to submit withholding tax for the city on behalf of their employees who are residents of Perrysburg. (Courtesy withholding)

- Business entities doing business in the city with an existing account that have merged with or split from another entity, or changed business formation in any way that may result in a new Federal ID#, a new name, a new location, new owners/partners, etc.

If you receive this form in the mail, you do not need to complete the form from this website. If you use the form on this website, please disregard any mailed form, unless it is a request for additional information. If you have questions when completing the form, don't hesitate to call the City of Perrysburg Income Tax Division at 419-872-8035.

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All information requested on this form is essential for completing our records and is held in strict
confidence, as authorized by our ordinance. Please complete the PDF and mail to:

City of Perrysburg
Income Tax Division
201 West Indiana Avenue
Perrysburg, OH 43551