Ohio Tax – S.A Client Enrolment – Governing Data Exchange

Title

Full Name

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Birth

National Insurance Number

Title Reference As

Phone

Company Name (if applicable)

Unique Tax Reference (UTR)

Business Activity

Please provide a brief description of what services you provide?

Are you a member of the Construction Industry Scheme (CIS)?

As per GDPR regulations, I understand that by ticking the box below, I am providing consent to allow my information to be held on file

Signature

Clear Signature

I hereby confirm that the information I have provided is accurate and complete.

Additional Information