City Paperwork Packet 3.11.2026.pdf

Vendor Registration Form

Complete this form and return it to pursupplies@toledo.oh.gov. Bidding opportunities are posted on the City of Toledo, Division of Purchases and Supplies web site: http://toledo.oh.gov/.

Firm Name

Primary Business Address

Remit Address (If different from above)

Title

Fax #

Business Hours

YES (attach certificate)

Primary Contact

Telephone #

E-mail Address

Remit to Email

Federal ID #

DBE/MBE/WBE Certification NO __

Do you require a 1099-MISC form?

Describe your firm’s products and/or services

Return form to: City of Toledo Division of Purchases and Supplies 640 Jackson Street, #2000 Toledo, Ohio 43604

E-mail: pursupplies@toledo.oh.gov

NO YES

City, State, Zip

City, State, Zip

City Paperwork 01.16.26 mailto:pursupplies@toledo.oh.gov http://toledo.oh.gov/

DIVISION OF TAXATION

The city of Toledo adminsiters a municipal income tax that is applicable to all contractor work performed in the city. This contractor activity is covered under Section 798.01 of the Toledo Municipal Code which requires tax registration when contractor work is performed. In order to become registered with the city of Toledo, Division of Taxation, you must complete and return the Business Registration Form on page 2 of this letter. This form can be returned by facsimile at (419) 936-2320 or by email incometax@toledo.oh.gov. A deposit of $250 is required at time of registration. This deposit will be credited towards your estimated net profits income tax.

The rate of Toledo municipal income tax is two and one-half percent (2.5%). As an employer, you are required to withhold municipal income tax from all compensation paid to your employees while working in the city of Toledo. You must also pay on net profits attributable to Toledo projects.

Completing this questionnaire will enable us to furnish the proper forms to you to effect compliance with the Toledo Municipal Code Chapter 1905.

If your account number is listed under another name, please call Engage Toledo at (419) 936-2020, and we will make the necessary changes to our tax database.

Sincerely, City of Toledo Division of Taxation Department of Finance Engage Toledo Telephone, 419-936-2020

Encl: Business Tax Registration Form

Finance Department, One Government Center, Suite 2070, Toledo, Ohio 43604-2284

Engage Toledo Telephone: (419) 936-2020 • Fax: (419) 936-2320

One Government Center, Ste 2070, Toledo, OH 43604 Office (419) 936-2020, Fax (419) 936-2320 Email incometax@toledo.oh.gov

FAILURE TO FULLY COMPLETE MAY RESULT IN DELAYS IN PROCESSING

Business / Account Type:

Corporate Officers/Non Profit Board Members:

Sole Proprietor (including Single Member LLC):

FAILURE TO FULLY COMPLETE MAY RESULT IN DELAYS IN PROCESSING

Partners (attach additional sheets if necessary):

Name:

Name:

Name:

Residential Address:

Residential Address:

Residential Address:

Social Security # (Required):

Social Security # (Required):

Social Security # (Required):

Business Registration Form

ACCT#

Date:

(W) Withholding Voluntary Withholder

(X) Form 990 Non-Profit Entity

(B) Form 1041 Association/ Trust

(C) Form 1120/1120S Single Member LLC/ Corporation

(B) Form 1065 Partnership

(R) Schedule C or E Single Member LLC/ Sole Proprietorship

FEDERAL TAX ID# (If Applicable) Toledo Business Name

Business Name Toledo Address (If different)

Business City, State, Zip

Printed Name: Date:

Provide the name and FEIN under which the withholding tax will be remitted (If different)

Business Address

Signature: Title:

Toledo Address City, State, Zip

Business Phone # Name (If different) FEIN (If different)

Business Fax # Email Address

1. Starting date of Toledo activities

2. Are there now or will there be employees subject to Toledo income tax? Yes No Remote Only

Will you be filing monthly (withholding > $200/month)? Yes No Payroll starting date _______________

3. Accounting period: Calendar Year? ___________ or Fiscal Year Ending ________________________________

4. Nature of business _________________________________________________________________________________

5. Do you now or will you conduct business within Toledo city limits? Yes No

City Paperwork Page 1 of 1 12.17.25

Court-Ordered Child Support Compliance

On August 20, 1999, the City of Toledo passed Administrative Policy and Procedure #53, which requires all contracts over $10,000 to contain an affidavit from the vendor listing the name and address of any individual owner or shareholder with a twenty-five (25) percent or greater vested interest in said company who is subject to a court-ordered child support decree.

For any individual identified as subject to a court-ordered decree, the vendor must submit a certification from the appropriate authority that said individual is in substantial compliance with any court-ordered child support.

Substantial compliance means the individual is current regarding court-ordered child support obligations or has entered into an agreement within the past thirty (30) days with the appropriate authority to satisfy any delinquency and assure future payments.

City Paperwork Page 2 of 1 12.17.25

COURT-ORDERED CHILD SUPPORT

COMPLIANCE AFFIDAVIT FOR

BUSINESSES

CITY OF TOLEDO )

) ss:

COUNTY OF LUCAS )

being first duly sworn, deposes and says that Authorized Officer he/she is of the party making the (Title) Company Name foregoing proposal or bid; that according to my knowledge, based upon company records and/or information that has come to be known to me personally, no individual owner or shareholder with twenty-five (25) percent or greater vested interest in

(Company Name) is subject to a court-ordered or administrative support ordered support decree in Ohio or any other state, except as indicated as follows:

If none, initial here ; or

Name Name

Address Address

City, State, Zip City, State, Zip

Social Security No. Social Security No.

Date of Birth Date of Birth

Case No. Case No.

(If additional space is needed, please make a copy and notarize each page.)

Any above listed shareholders or owners have been provided a copy of the attached Certificate of Substantial Compliance with Child Support, and instructed as how to complete and return for inclusion in (Company Name) bid or proposal. (Attached).

Affiant:

Sworn and subscribed before me this day of , 20__.

(NOTARY SEAL)

Notary Public

10.15.2013

CITY OF TOLEDO DEPARTMENT OF PUBLIC UTILITIES

WATER / SEWER / STORM WATER / GARBAGE SERVICES

COMPLIANCE

VENDOR UTILITY ACCOUNT(S) STATUS VERIFICATION

Note to Vendor: Please fill out this form and return it with your BID submission to the Division of Purchases and Supplies. If your company does not utilize City of Toledo utilities, fill in top 2 lines with company information and indicate "N/A."

Account Holder Name(s):

Service Address(es):

Account No(s):

Vendor’s e- Mail Address & Fax Number:

1st Account # - - is Active or

Closed as of (date)

Open Balance: $

2nd Account # is Active or Closed as of (date)

Open Balance: $

3rd Account # is Active or Closed as of (date)

4th Account # is Active or Closed as of (date)

(Attach more sheets for additional accounts.)

Total Open Balance $ ***

Dated:

Completed by (print):

*** NOTES: THE INFORMATION PROVIDED BY DPU FOR THE REFERENCED SERVICE ADDRESS(ES)

IS BASED ON AVAILABLE INFORMATION AT THE TIME OF TRANSMITTAL AND IS SUBJECT TO

REVISION BASED UPON ANY UNBILLED CONSUMPTION AND FINAL BILLING ADJUSTMENTS.

DPU’s Comments (e.g. relative to liens, collection agent activity, balance transfers, etc.):