Business Information |
Company or Trade Name |
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Address |
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City |
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State |
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Zip Code |
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Business Type |
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Business Group/Category |
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Federal ID (EIN) |
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SSN |
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Work Phone |
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Cell Phone |
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Fax |
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EMail |
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Website |
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Registration Period |
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Owner Information |
First Name |
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Last Name |
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Address |
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City |
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State |
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Zip Code |
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Select Password |
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Business Specifics |
Ownership |
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If Other, please specify |
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Date work started in Madison County (outside Richmond/Berea city limits) |
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Number of Employees in Madison County (Note: 1099's will be required for labor deductions) |
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Contract Labor |
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Tax Year |
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If Fiscal Year, please specify timeframe |
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Please list any other business entities you have within Madison County jurisdiction |
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Comment |
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Submitter's IP Address |
44.222.134.250 |
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