Form Cr-16 - Business Tax Application - Kansas Page 3
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1
2
3
4ENTER YOUR EIN:
OR
SSN:
PART 6 - WITHHOLDING TAX
1.
Reason for Kansas withholding tax registration. (Check all that apply - see instructions.)
Withholding on wages; taxable payments other than wages; or pensions, annuities or deferred compensation.
Withholding on Kansas taxable income of nonresident partners, shareholders or members of a partnership, S corporation, LLP or LLC.
2.
Date you began making payments subject to Kansas withholding:
Month
Day
Year
3.
Estimate your annual Kansas withholding tax:
$200 and under (Annual Filer)
$201 to $1,200 (Quarterly Filer)
$1,201 to $8,000 (Monthly Filer)
$8,001 to $100,000 (Semi-Monthly Filer)
$100,001 and above (EFT)
4.
If your tax reports and withholding returns are prepared by a payroll service, complete the following:
Payroll service name
EIN
Address
City
State
Zip
Phone number (_____)_____________________
PART 7 - CORPORATE INCOME TAX OR PRIVILEGE TAX
1.
Date corporation began doing business in Kansas or deriving income from sources within Kansas:
Month
Day
Year
2.
What name and EIN will you be using to report federal income/expenses (if different than Part 3, questions 2 and 6)?
Name:
EIN:
3.
If your business is a financial institution, check the appropriate box:
Bank
Savings and Loan
Fiscal Year
4.
Check type of tax year:
Calendar Year
If fiscal year, provide year-end date: Month ________ Day _____
5.
If your business is a cooperative or political subdivision, check the appropriate box:
Cooperative
Political Subdivision
PART 8 - LIQUOR ENFORCEMENT TAX
1.
Date of first sale of alcoholic beverages:
Month ________ Day _____ Year _____
2.
Check type of license:
Liquor Store
Distributor
Microbrewery
Farm Winery
PART 9 - LIQUOR DRINK TAX
1.
Date of first sale of alcoholic beverages:
Month ________ Day _____ Year _____
2.
Check type of license:
Class "B" Reciprocal Club
Class "A" Club
Class "B" Club
Hotel (Entire premises)
Caterer
Drinking Establishment
Hotel/Caterer
DE/Caterer
See instructions. If registering for more than one contract, enclose a
PART 10 - NONRESIDENT CONTRACTOR
separate page for each contract.
$
1.
Total amount of this contract:
2.
Required bond:
$1,000
8% of Contract
4% of Contract
(Enclose a copy of the project exemption certificate)
3.
List who contract is with:
Phone number: (_____)_____________________
4.
Location of Kansas project:
(Street Address)
(City)
(County)
5.
Starting date of contract:
Month ________ Day _____ Year _____
Estimated contract completion date:
Month ________ Day _____ Year _____
6.
Subcontractor’s name (If more than one, please enclose an additional page):
(Street Address)
(City)
(State)
(Zip Code)
7.
Subcontractor’s EIN:
$
8.
Subcontractor’s portion of contract
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