Please fill in the information below and click the “Print” button. This will open your completed SS4 in a new window. Print this out and send it in to the Flint Tax Office, and you will be contacted when your account is ready for you to login and access the Flint online tax system.
* FEIN (no dashes, e.g. enter 01-1234567 as 011234567) |
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* Complete Company Name
(Include, if applicable, Corp., Inc., L.L.C., etc.) |
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Business Name, Assumed Name of DBA (If used) |
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* Filing Frequency |
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* Number and Street |
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* City |
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* State |
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* Zip Code |
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* Business Phone |
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* Number and Street (where forms are mailed) |
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* City |
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* State |
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* Zip Code |
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* Number and Street |
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* City |
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* State |
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* Zip Code |
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* First Name (incl. Middle if desired) |
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* Last Name (incl. Jr., Sr., etc. as necessary) |
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* Home Phone |
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* Business Title |
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* Date of Birth |
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* Address (number and street) |
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* City |
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* State |
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* Zip Code |
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* Social Security Number |
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* Driver License/ Michigan Identification |
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First Name (incl. Middle if desired) |
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Last Name (incl. Jr., Sr., etc. as necessary) |
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Home Phone |
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Business Title |
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Date of Birth |
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Address (number and street) |
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City |
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State |
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Zip Code |
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Social Security Number |
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Driver License/ Michigan Identification |
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Type of Business Ownership |
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If Registered Partnership, enter Agreement Date |
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If Other, explain |
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* SIC Code Number |
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* State of Incorporation |
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* Michigan Corporation Number |
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* Date You First Paid Wages To Flint Withholding |
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* Number of Employees Subject to Flint Withholding |
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* Contact Person for Withholding Tax Questions |
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* Contact Person's Phone Number |
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* Contact Person's E-mail Address |
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* Reason for Registration |
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If Starting a New Business, Enter Business Start Date |
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If Reinstating an Old Business, Enter Old Account Number |
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If Other, Explain |
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If Purchased a Going Business, Enter Name of Previous Owner or Corporation |
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If Purchased a Going Business, Will Previous Owner Continue to Have Employees Subject to Flint Income Tax Withholding? |
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Do You Close Your Books For Tax Purposes (For the Year) On December 31? |
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If Not, Give Closing Month and Day |
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Once you have completed filling out the form with your information and click on the Print button (you may need to hold down CTRL to get the pop-up to open), a new window will open with a PDF of your SS-4. You can save this to your local computer, and e-mail it to Flint, or print it out and mail it in.
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