Questionnaire Regarding Activities In Arizona Form - Arizona Department Of Revenue (Page 2 of 4) in pdf

Questionnaire Regarding Activities In Arizona Form - Arizona Department Of Revenue Page 2

If more space is needed for answers, please use a separate sheet of paper.

C. Company Activities

1. Principal business types (please check all that apply and describe product or service):

Business Type

Product or Service

Retailer

Wholesaler

Manufacturer

Distributor

Lessor

Other

2. Provide a speciﬁ c description of all business activities within Arizona:

3. Has Company ever participated in trade shows, seminars or lectures in Arizona? If yes, please indicate dates attended and describe all

activities performed.

4. Are sales activities performed at these shows? If yes, please indicate date(s) description of services and dollar amounts:

5. Are all sales for resale?

Yes

D. Company Afﬁ liations

1. Is Company a parent?

Yes

2. Is Company a subsidiary?

Yes

If yes, please give name and federal EIN of ultimate U.S. parent:

3. Provide the following information for all afﬁ liates/subsidiaries. (Attach a supporting document if necessary.)

Legal/dba Name

Address

*Relation

FEIN

Business Code

*P=Parent S=Subsidiary A=Afﬁ liate

E. Company Gross Revenue

Please provide the following information for the last 4 years.

Gross Revenue From Sales

Year

or Services to Arizona Customers

Year

or Services to Arizona Customers

Have sales to Arizona customers been included in the sales factor of any other state?

Yes

If yes, please list state(s).

ADOR 10894 (7/10)

Previous ADOR 20-1068

Questionnaire Regarding Activities In Arizona Form - Arizona Department Of Revenue Page 2