Questionnaire: Nexus Activities In Iowa For Sales Or Use Tax Purposes Page 2

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6. If you are included in a consolidated Federal return, please provide the name, address and FEIN or TIN used
on that return.
7. Describe your business, in detail (product or services by division, and include applicable brand names).
8. Do you sell products or merchandise for resale?
Yes (
Some
All )
No
9. Please list name and Iowa mailing address for five largest customers located in Iowa.
Please check one:
End User Dealer
Other
a.
b.
c.
d.
e.
10. Sales for the prior three periods:
Period
Iowa Sales
Total Sales
(mm/dd/yyyy)
$
$
$
$
$
$
11. Does your company solicit sales by (check all that apply):
a. Company employee(s) traveling in Iowa on company business?
Yes
No
b. Telephone or Telemarketing?
Yes
No
c. Mail Order (catalog or publications)?
Yes
No
d. Participating in Iowa Trade Shows?
Yes
No
e. Independent representative(s), dealer(s), or independent contractor(s)?
Yes
No
12. If your company does business in Iowa through independent representative(s), dealer(s), or independent
contractor(s), please complete the following:

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