Business Questionnaire Form - North Carolina Department Of Revenue Page 2
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2Business Questionnaire (continued)
Yes
No
10. Business activities in North Carolina:
a) Does the business sell, lease, rent or license to use or consume tangible property
in North Carolina? If yes, describe property: _______________________________
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___
b) Does the business sell, lease, rent or license to use or consume intangible property
in North Carolina? If yes, describe property: _______________________________
___
___
c) Does the business make retail sales in North Carolina?
___
___
d) Does the business make wholesale sales in North Carolina?
___
___
e) Does the business maintain an office, agency, warehouse, or other business location
in North Carolina? If yes, address: _________________________________________
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___
f) Does the business maintain inventory or consigned property in North Carolina whether
permanently or temporarily? If yes, address: _________________________________
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___
g) Does the business license software for use in North Carolina?
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___
h) Does the business perform construction contracts in North Carolina?
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___
i) Does the business maintain a security interest/mortgage in property until the contract
price or amount borrowed has been paid?
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___
11. Check the method(s) of delivery your business uses: ____company-owned or leased trucks;
___ your delivery agent or salesperson; ____customer pickup; ____common carrier;
____US Postal Service; Other: _________________________________________________
12. Check the activities company employees, representatives, or agents conduct in North Carolina:
a) Solicit/approve orders and/or secure deposits on sales of tangible personal property
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___
b) Make “on the spot” sales of company products
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___
c) Make collections on regular or delinquent accounts
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___
d) Carry samples and/or merchandise that are sold, exchanged, or distributed
in any manner for consideration or other value
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___
e) Provide installation or supervision of installation
___
___
f) Offer technical assistance and training to purchasers of its products before or after
the sale
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___
g) Make repairs or provide maintenance
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___
h) Distribute replacement parts
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i) Pick up or replace damaged or returned property
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j) Advise customers as to minimum inventory levels, remove obsolete or outdated goods
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k) Conduct training classes, seminars or lectures
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l) Investigate credit worthiness
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m) Handle customer complaints
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n) Repossess property
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o) Provide engineering or design services
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p) Maintain or service samples or display room
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q) Investigate, recommend, or appoint potential dealers, agents or distributors
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_______________________________________________________________________________________
Print Name
Signature
Title
Telephone Number
Email
Date: ________________________
Please complete and return this questionnaire to:
Anthony Edwards, Manager
North Carolina Department of Revenue
P O Box 871
Raleigh, NC 27602
Page 2
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