Ohio Pass Through Entity & Fiduciary Income Tax Registration

Pass Through Entity & Fiduciary Income Tax Registration
Form PTE REG
Pass-Through Entity & Fiduciary
Income Tax Registration

25550106

Note: This form contains information necessary to create a PTE or fiduciary account with the Department. If you are a first-time Ohio
PTE or fiduciary filer, this form must accompany your first estimated payment and OUPC voucher. This form is not required if your first
contact with the Department is filing a PTE or fiduciary return (IT 4708, IT 4738, IT 1140, or IT 1041); since these returns contain the same
information to create the account.
FEIN :
Name of pass-through entity or fiduciary (trust/estate)

Address

City

State

ZIP code
Foreign
Country Code
(if applicable)

Foreign address (if applicable)

1. Type of organization: (check the one box that applies)
	

S Corp	

LLC	

Partnership (all types)	

Trust	

Estate	

Other (explain:	

)

2. If “Trust” was selected on line 1, check all that apply below:
Simple or	

Complex	

Resident or	

Nonresident	

Irrevocable	

3. If “Estate” was selected on line 1, select one of the following options:	

Bankruptcy	

Testamentary
Decedent

4. I intend to file the following forms (check all that apply below):
Fiduciary Income Tax Trust (Form IT 1041)	

Fiduciary Income Tax Estate (Form IT 1041)	

Electing Pass-Through Entity Income Tax (Form IT 4738)	

Pass-Through Entity & Trust Withholding Tax (Form IT 1140)

Pass-Through Entity Composite Income Tax (Form IT 4708)

Date of first operations in Ohio:	

MM D D

MM D D Y
Financial year begin date:				

Y Y
Y

NAICS code:

Financial year end date:

MM D D

Y Y

Contact Information:
	

Name			

Title		

Phone#			

Email			

Date

Information for individual responsible for filing returns and making payment of pass-through entity and/or fiduciary income taxes:

Name	
Street

Title	

Phone no. 	
City	

SSN / ITIN
State

ZIP code

If you have never filed a PTE or fiduciary return, but have already made your first estimated payment, please submit this form using
the method below as soon as possible:
Mail:
Ohio Department of Taxation													
P.O. Box 2476
Columbus, OH 43216-2476

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