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Ohio Free Printable Microsoft Word - D5 Form Rev 5-2021.docx for 2024 Ohio Notification of Dissolution or Surrender

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Notification of Dissolution or Surrender
Microsoft Word - D5 Form Rev 5-2021.docx

D5 Rev 08/23 Tax Release Unit P.O. Box 182382 Columbus, OH 43218-2382 Notification of Dissolution or Surrender All corporations seeking a dissolution, surrender, consolidation, merger or conversion must submit this form to the Ohio Department of Taxation at least 30 days prior to the date the corporation intends to file with the Ohio Secretary of State. A Certificate of Tax Clearance will not be issued until all taxes/fees administered by the Tax Commissioner are filed and paid. Review the notification of dissolution or surrender instructions before completing. 1. Name of corporation (as recorded with the Ohio Secretary of State) Address FEIN Ohio charter/entity no. Type of business activity/product sold: Date qualified in Ohio Incorporation date State of incorporation 2. Select corporation/entity type: Domestic For-Profit Domestic Nonprofit LLC Foreign For-Profit Foreign Nonprofit Domestic/Foreign Nonprofit Agricultural Cooperative 3. Select dissolution/surrender method: Certificate of Tax Clearance Affidavit (Domestic for-profit corporations must select Certificate of Tax Clearance. LLC select Affidavit.) 4. Select reason for dissolution/surrender: Consolidation Conversion Dissolution/Surrender Merger 5. Converting/Merging entity that is continuing the business activities: Name Address FEIN Ohio Charter/entity no. Date corporation intends to Convert at the Ohio Secretary of State or Merge out of existence 6. Date Ohio business activity ceased or will cease (mm/dd/yyyy): Ending date of last payroll subject to Ohio withholding (mm/dd/yyyy): 7. Select each tax applicable to this corporation and provide information requested. See the instructions for information on how to close certain accounts with the Ohio Department of Taxation: Tax Type Ohio Account No. Commercial activity tax Consumer use tax/direct pay permit Corporation franchise tax Employer withholding tax Excise/energy taxes (motor fuel, alcohol, tobacco, public utility) Financial institutions tax (also see #8 on page 2) -1- Date Final Return Filed D5 Rev 08/23 Sales tax/sellers use tax School district employer withholding tax Wireless 9-1-1- fee 8. If you file the financial institution tax as part of a group, provide the name and FIT account number of the reporting member: 9. Identify the person where the Certificate of Tax Clearance should be sent. IF THIS IS A REPRESENTATIVE, AN OHIO TBOR 1 IS REQUIRED: Name Title Address Phone Fax TBOR1 Attached? 10. Identify the person where correspondence regarding tax matters should be sent. (if different from #9.) IF THIS IS A REPRESENTATIVE, AN OHIO TBOR 1 IS REQUIRED: Name Title Address Phone Fax TBOR1 Attached? 11. List each officer’s and director’s name, title, address, and SSN (include additional list if necessary): Name and Title Home Address SSN 12. I declare and affirm, under penalties provided by law, that this application has been examined by me and the statements contained therein are true to the best of my information, knowledge and belief. By my signature, as an officer of the corporation or as the person who will execute the dissolution/surrender, I (i) acknowledge that all of my tax accounts with the Ohio Department of Taxation will be closed as of the date provided in section 6 (the latter of last day of business or last day of payroll); (ii) acknowledge that the dissolution/surrender does not relieve the corporation for payment of all taxes/fees administered by and required to be paid to the Tax Commissioner; and (iii) acknowledge, if the corporation is a domestic nonprofit corporation organized under Ohio Revised Code (R.C.) chapter 1702 or a domestic nonprofit agricultural cooperative organized under R.C. chapter 1729, the applicability of R.C. sections 1702.55 and 1729.25, respectively. Name Signature Title Date To submit this application, please use one of the following options: Online Notice Response Service: tax.ohio.gov - Contact Us -or- gateway.ohio.gov eFax: (206) 984-0378 Phone: (855) 995-4422 Email: [email protected] -2- Mail: Ohio Department of Taxation Tax Release Unit P.O. Box 182382 Columbus, OH 43218-2382
Extracted from PDF file 2023-ohio-form-d-5.pdf, last modified May 2021

More about the Ohio Form D 5 Corporate Income Tax TY 2023

We last updated the Notification of Dissolution or Surrender in January 2024, so this is the latest version of Form D 5, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form D 5 directly from TaxFormFinder. You can print other Ohio tax forms here.

Other Ohio Corporate Income Tax Forms:

TaxFormFinder has an additional 82 Ohio income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form IT 1041 Instructions Fiduciary Income Tax Return Instructions
Form IT 1041 Fiduciary Income Tax Return
Form IT 4708ES Ohio Estimated Income Tax Payment Coupon for Investors in Pass-Through Entities (OBSOLETE)
Form FIT CA Request to Cancel Account
Form IT 1140ES Ohio Estimated Withholding Tax Payment Coupon for Pass-Through Entities and Trusts

Download all OH tax forms View all 83 Ohio Income Tax Forms

Form Sources:

Ohio usually releases forms for the current tax year between January and April. We last updated Ohio Form D 5 from the Department of Taxation in January 2024.

Show Sources >

About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Ohio Form D 5

We have a total of eleven past-year versions of Form D 5 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2023 Form D 5

Microsoft Word - D5 Form Rev 5-2021.docx

2022 Form D 5

Notification of Dissolution or Surrender

2021 Form D 5

Microsoft Word - D5 Form Rev 5-2021.docx

2020 Form D 5

Notification of Dissolution or Surrender

2019 Form D 5

Notification of Dissolution or Surrender

2018 Form D 5

Notification of Dissolution or Surrender

2017 Form D 5


2016 Form D 5


Notification of Dissolution or Surrender 2014 Form D 5


2012 Form D 5


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