Form 1353 - Michigan Department Of Treasury Nexus Questionnaire Page 4

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1353, Page 4
36. Did the company enter into an agreement, directly or indirectly, with 1 or more residents under which the resident, for a
commission or other consideration, directly or indirectly, refers potential purchasers, whether by a link on an internet website,
in-person oral presentation, or otherwise, to the company?
No, skip to question 39
Yes, enter period(s):_________________________
37. Did the cumulative gross receipts from sales of tangible personal property to Michigan purchasers who were referred to the
company by Michigan residents (through an agreement with the company) exceed $10,000 in a 12-month period?
MCL 205.52b
No
Yes, enter period(s):_________________________
38. Did the total cumulative gross receipts from sales of tangible personal property to Michigan purchasers exceed $50,000 in a
12-month period?
No
Yes, enter period(s):_________________________
39. Did the company or an affiliated person conduct any other activities in Michigan that are significantly associated with the
company’s ability to establish and maintain a market? See table 1 and 2 below.
No
Yes, enter period(s):_________________________
MCL 205.52b
Explain:
I declare, under penalty of perjury, that the information provided in this questionnaire and any attachments is, to the best of my knowledge,
true, correct and complete (If prepared by a person other than an officer, partner or owner of the business, this declaration is based on all
information of which you have knowledge).
Signature of Officer, Member, Partner, or Owner
Date
Telephone Number
Print or Type Name and Title
Mailing Address (if different than address on Page 1)
Signature of Preparer
Date
Telephone Number
Print or Type Name and Title
Preparer’s Mailing Address
Table 1
Table 2
Business Activities Which Create Nexus
Real and Tangible Personal Property Held in
Michigan Which Create Nexus
• Inspect dealer inventories, review customer displays and
• Repair shop, parts department or warehouse
shelving or replace stale product
• Office equipment or fixtures of any kind
• Provide transportation services or provide shipping information
• Employment office or purchasing office
and/or coordinate deliveries
• Mobile office, in-home office* or meeting place for directors
• Conduct seminars
• Retail outlet
• Perform managerial or research activities, or lease employment
• Motor store(s) (trucks with driver sales person)
or personnel services
• Motor vehicles of any kind
• Meet with customers to determine user satisfaction, or maintain
• Telephone answering service
display room or sample
• Stock of goods (including consignment)
• Pick up or replace damaged, defective or returned property, or
• Tools and dies at suppliers
repossess property
• Other
• Sell additional service contracts
• Perform computer data processing
* Used as business address, location to receive callers, store
• Provide private investigation, protection, patrol, watchman or
inventory, or where office expenses are paid, reimbursed or
armored car services
supplied by your company.
• Perform other types of services than those listed
• Secure deposits for sale
For a more complete explanation of Michigan’s Use Tax nexus standards and Michigan Corporate Income Tax nexus standards, refer to Treasury’s Web
site:

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