Form Cr-16 - Business Tax Application - Kansas Page 2
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1
2
3
4No
Yes
If yes, please list previous number
11. Have you or any member of your firm previously held a Kansas tax registration number?
or name of business:
12. List all Kansas registration numbers currently in use:
13. List all Kansas registration numbers that need to be closed due to the filing of this application:
-
PART 4 - LOCATION INFORMATION
If you have only one business location, complete Part 4. If you have more than one business
location, complete Part 4 AND a Schedule CR-17 (page 13) for each additional location.
1. Trade Name of Business:
2. Business Location:
(Street address - Do not list PO Box)
(City)
(State)
(County)
(Zip Code)
No
Yes
If yes, what city?
3. Is the business located within the city limits?
4. Describe your primary business activity: ______________________________________________________________________________________
Enter business classification (if known): NAICS Code _______________________________
(
)
5. Business Telephone Number:
6. Is your business engaged in the renting or leasing of motor vehicles?
No
Yes
If yes, are the leases for more than 28 days?
No
Yes
7. Do you make retail sales of cigarettes over-the-counter, by mail, telephone, or over the internet?
No
Yes
If yes, you must enclose a $25.00 fee for each location with this application.
If you plan to sell cigarettes over the internet, telephone or via mail order, please provide your e-mail or web page address. ____________________
8. Will you be the operator of cigarette vending machines?
No
Yes If yes, you must enclose an additional page listing the serial number,
location addresses and manufacturer’s brand name of each machine. Enclose a check or money order for $25.00 for each machine with this application.
9. Is this location a hotel, motel or bed & breakfast?
No
Yes
If yes, how many sleeping rooms are available for rent or lease?
Estimate your monthly tire tax (25 cents per tire). $
10. Do you sell new tires and/or vehicles with new tires?
No
Yes
11. If you are a dry cleaner or laundry retailer, do you have satellite locations or agents in businesses not classified as a dry cleaning or laundry facility?
If yes, please enclose an additional page listing the name, business type, address, city, state and zip code of each satellite location.
No
Yes
12. Are you a public water supplier making retail sales of water delivered through mains, lines or pipes?
Yes
Yes
No
No
Yes
Yes
No
No
13. Do you make retail sales of motor vehicle fuels or special fuels?
If yes, you must also have a Kansas Motor Fuel Retailers
License. Complete and submit an application, Form MF-53, for each retail location.
PART 5 - SALES/COMPENSATING USE TAX
1. Date retail sales began (will begin) in Kansas under this ownership:
Month ________________
Day _______
Year _______
2. Do you operate more than one business location in Kansas?
Yes
If yes, how many?
No
(Complete Schedule CR-17 for each location in addition to the one listed in Part 4. Sales for all locations are reported on one return.)
3. Will sales be made from various temporary locations?
No
Yes
4. Do you ship or deliver merchandise to Kansas customers?
No
Yes
5. Do you purchase merchandise, equipment, fixtures and other items outside Kansas for your own use (not for resale) in Kansas on which you are not
charged a sales tax?
No
Yes
$81 to $3,200 (Quarterly Filer)
$80 and under (Annual Filer)
6. Estimate your annual Kansas sales or compensating use tax liability:
$3,201 to $32,000 (Monthly Filer)
$32,001 to $100,000 (Pre Paid Monthly Filer)
$100,001 and above (EFT)
7. If your business is seasonal, list the months you operate:
8. Are you performing labor services in connection with the construction, reconstruction, or repair of commercial buildings or facilities?
No
Yes
9. Do you sell natural gas, electricity, water or heat (propane gas, LP gas, coal, wood) to residential or agricultural customers?
No
Yes
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