• Employer Signup

    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 Grand Rapids Tax Office, and you will be contacted when your account is ready for you to login and access the Grand Rapids online tax system.


    * FID No. (no dashes, e.g. enter 01-1234567 as 011234567)
    * Complete Company Name
    (Include, if applicable, Corp., Inc., L.L.C., etc.)
    Business Name, Assumed Name of DBA (If used)
    * Filing Frequency
    Legal Address
    * Number and Street
    * City
    * State
    * Zip Code
    * Business Phone
    Mailing Address ( Use Legal Address)
    * Number and Street (where forms are mailed)
    * City
    * State
    * Zip Code
    Physical Address in Grand Rapids ( Use Legal Address)
    * Number and Street
    * City
    * State
    * Zip Code
    Complete all information for each owner, partner, member, or corporate officer. If additional spaces are necessary, please attach list when submitting form.
    * First Name (incl. Middle if desired)
    * Last Name (incl. Jr., Sr., etc. as necessary)
    * Home Phone
    * Business Title
    * Date of Birth
    * Address (number and street)
    * City
    * State
    * Zip Code
    * Social Security Number
    * Driver License/ Michigan Identification
    First Name (incl. Middle if desired)
    Last Name (incl. Jr., Sr., etc. as necessary)
    Home Phone
    Business Title
    Date of Birth
    Address (number and street)
    City
    State
    Zip Code
    Social Security Number
    Driver License/ Michigan Identification
    Type of Business Ownership
    If Registered Partnership, enter Agreement Date
    If Other, explain
    * SIC Code Number
    * State of Incorporation
    * Michigan Corporation Number
    * Date You First Paid Wages To Grand Rapids Withholding
    * Number of Employees Subject to Grand Rapids Withholding
    * Contact Person for Withholding Tax Questions
    * Contact Person's Phone Number
    * Contact Person's E-mail Address
    * Reason for Registration
    If Starting a New Business, Enter Business Start Date
    If Reinstating an Old Business, Enter Old Account Number
    If Other, Explain
    If Purchased a Going Business, Enter Name of Previous Owner or Corporation
    If Purchased a Going Business, Will Previous Owner Continue to Have Employees Subject to Grand Rapids Income Tax Withholding?
    Do You Close Your Books For Tax Purposes (For the Year) On December 31?
    If Not, Give Closing Month and Day
    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 Grand Rapids, or print it out and mail it in.