Nebraska Pre-Audit Questionnaire Template - Department Of Revenue
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Nebraska Pre-audit Questionnaire
• Please answer all applicable questions and return in our envelope
BUSINESS IDENTIFICATION
Legal Name
Federal Identification Number or Social Security Number
Doing Business As
BUSINESS MAILING ADDRESS
ADDRESS TO CONDUCT AUDIT
Street or Other Mailing Address
Street Address
City
State
Zip Code
City
State
Zip Code
Name of Person to Contact Concerning Audit
Title
How Long in this Position
Office Hours
Telephone Number
FAX Number
BUSINESS INFORMATION
1. Name of parent company, if any:
2. List all related companies (corporations that have at least fifty percent common ownership, and other entities that would be considered a
parent, subsidiary, or brother-sister if they were corporations). Please enclose a copy of your most recent annual report.
3. List all Web site addresses:
4. Type of ownership:
Sole Proprietorship
Partnership
S Corporation
C Corporation
LLC
LLP
Government
Other:
5. List addresses for ALL NEBRASKA locations, including offices, warehouses, manufacturing facilities, etc.
Street Address
City
In City Limits?
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
6. Are multiple sales locations reported on the same tax return?
YES
NO
7. List all applicable license numbers used for reporting Nebraska taxes:
Not licensed
Sales ________________________
Partnership_________________________
Litter _________________________
Retailer’s Use _________________
Cigarette __________________________
Tobacco Products _______________
Consumer’s Use________________
Waste Reduction and Recycling ________
Financial Institutions ____________
Withholding __________________
Lodging ___________________________
Tire Recycling _________________
Corporate Income ______________
Exemption for Sales and Use Tax _________________________________________
2-2008
7-243-1996 Rev.
Supersedes 7-243-1996 Rev. 2-2007
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