Questionnaire Regarding Activities In Arizona Form - Arizona Department Of Revenue Page 4
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2
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4Yes
No
19. Perform any engineering functions? ........................................................................................................
20. Solicit order for the sale of:
a. Tangible personal property? ...............................................................................................................
b. Real Estate? .......................................................................................................................................
c. Intangibles? ........................................................................................................................................
d. Services? ...........................................................................................................................................
If yes, is the service performed inside of Arizona? ...................................................................................
21. Secure deposits on sale? .........................................................................................................................
22. Personally deliver company products or move company products between points in Arizona? ..............
23. Sign contracts that bind the company? ....................................................................................................
While in Arizona:
24. Has the Company ever signed or executed any contracts? ....................................................................
25. Does the Company do any local advertising (cooperative or other)? ......................................................
26. Are Company owned or leased vehicles used in delivering your product? ..............................................
Property Activity in Arizona
A. Property that is owned, rented or leased (Note: lease includes “licensing”):
Does the company currently own or rent or has the company previously owned or rented any of the following:
Own
Lease
None
1. Real Property: ..............................................................................................................
Brief description of real property:
2. Personal Property: ......................................................................................................
Brief description of personal property:
3. Intangibles: ..................................................................................................................
Brief description of Intangibles:
B. Does Company currently or has it previously:
Yes
No
1. Had Merchandise in Arizona on consignment? ..................................................................................
2 Conducted any banking activities in Arizona? ....................................................................................
If yes, please describe.
3. Maintained a stock of goods or materials in Arizona? ........................................................................
4. Held title to any property or placed a lien on any property located in Arizona until the
contract price was paid in full? ...........................................................................................................
5. Engaged in any franchise operations in Arizona? Please explain. ...................................................
The Department reserves the right to request additional information
The Department reserves the right to request additional information
4
ADOR 10894 (7/10)
Previous ADOR 20-1068
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Parent category: Financial