Form Cr-16 - Business Tax Application - Kansas

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RCN
KANSAS
BUSINESS TAX APPLICATION
FOR OFFICE USE ONLY
PART 1 - REASON FOR APPLICATION
New Business
Registration of Additional Tax Types
(Check the applicable box)
NOTE: If you are currently registered but are adding another business location, you need only complete Schedule CR-17, on page 13 of Publication KS-1216.
PART 2 - TAX TYPE -
Check the box for each tax type or license requested and complete the required parts of this application shown below each tax or license.
Vehicle Rental Excise Tax
Retailers’ Sales Tax
Nonresident Contractor
(Complete parts 1, 2, 3, 4, 5, & 11)
(Complete parts 1, 2, 3, 4, 5, & 11)
(Complete parts 1, 2, 3, 4, 5, 10 & 11)
Water Protection/Clean Drinking Water Fee
Dry Cleaning Surcharge
Retailers’ Compensating Use Tax
(Complete parts 1, 2, 3, 4, 5, & 11)
(Complete parts 1, 2, 3, 4, 5, & 11)
(Complete parts 1, 2, 3, 4, 5, & 11)
Consumers’ Compensating Use Tax
Liquor Enforcement Tax
Corporate Income Tax
(Complete parts 1, 2, 3, 4, 5, & 11)
(Complete parts 1, 2, 3, 4, 8, & 11)
(Complete parts 1, 2, 3, 4, 7 & 11)
Liquor Drink Tax
Withholding Tax
Privilege Tax
(Complete parts 1, 2, 3, 4, 6 & 11)
(Complete parts 1, 2, 3, 4, 9, & 11)
(Complete parts 1, 2, 3, 4, 7 & 11)
Transient Guest Tax
Cigarette Vending Machine Permit
(Complete parts 1, 2, 3, 4, 5, & 11)
(Complete parts 1, 2, 3, 4, 5, & 11)
Are you interested in using an electronic
Retail Cigarette License
or paperless option to file
Tire Excise Tax
(Complete parts 1, 2, 3, 4, 5, & 11)
Yes
No
and pay the tax?
(Complete parts 1, 2, 3, 4, 5, & 11)
PART 3 - BUSINESS INFORMATION --
PLEASE TYPE OR PRINT
1.
Type of Ownership (Check One):
Limited Partnership
General Partnership
Sole Proprietor
Limited Liability Partnership
Limited Liability Company
Federal Government
Other Government
Non-Profit Corporation
Other
Month _____ Day _____ Year _____
S Corporation
Date of Incorporation:
State of Incorporation ___________________
C Corporation
Date of Incorporation:
Month _____ Day _____ Year _____
State of Incorporation ___________________
2.
Business Name:
3.
Business Mailing Address:
(Street, Route or PO Box: Include apartment number, suite number or lot number)
(City)
(County)
(State)
(Zip Code)
(
)
(
)
4.
Business Telephone Number:
Business FAX #:
5.
Business Contact Person: _______________________________ Contact Telephone Number: ___________________________
6.
Federal Employer Identification Number (EIN):
(DO NOT enter Social Security number here)
7.
Accounting Method (Check One):
Cash Basis
Accrual Basis
8.
Describe your primary (taxable) business activity: ________________________________________________________________
Enter business classification NAICS Code (from Publication KS-1500; see instructions on page 6): _________________________
9.
Parent Company Name (if applicable):
Parent Company EIN:
Parent Company Address:
(Street, Route or PO Box: Include apartment number, suite number or lot number)
(City)
(State)
(Zip Code)
(County)
10. Subsidiaries (if applicable) If more than two, please enclose a separate sheet.
EIN:
Name:
Company Address:
(Street, Route or PO Box: Include apartment number, suite number or lot number)
(City)
(County)
(State)
(Zip Code)
EIN:
Name:
Company Address:
(Street, Route or PO Box: Include apartment number, suite number or lot number)
(City)
(County)
(State)
(Zip Code)
CR-16
RECEIVED DATE
(Rev. 7/05)

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