Nexus Questionnaire (Long Form) - Arkansas Department Of Finance & Administration

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STATE OF ARKANSAS
DEPARTMENT OF FINANCE & ADMINISTRATION
NEXUS QUESTIONNAIRE
Business Name: __________________________________________________________________________________
Address:
__________________________________________________________________________________
City:
____________________________________ State: _____________________ Zip: _______________
Federal I.D. #
________________________________
Yes
No
1.
Is the business currently filing tax returns with the Arkansas Department of Finance and
Administration?
If yes, what tax types? Sales
Use
Income
Withholding
2.
Has the business previously filed tax returns with the Arkansas Department
of Finance and Administration?
If yes, what tax types? Sales
Use
Income
Withholding
3.
Check filing status: C-Corp
Sub-s Corp
Partnership
Individual
LLC
4.
Write the appropriate filing numbers under the tax type.
Tax Type:
Withholding
Sales/Use
Income
Filing number:
5.
Is the business a member of an affiliated group of corporations?
If yes, does the business file a consolidated or combined return with Arkansas?
6.
Does the business participate in a partnership, as a general or limited partner, which has
operations, conducts business or owns property in Arkansas?
7.
Does the business own or lease real property in Arkansas?
8.
Does the business own or lease an office, agency, warehouse or other business location
in Arkansas?
9.
Does the business operate a mobile store in Arkansas?
10.
Does the business own or lease tangible personal property located in Arkansas?
11.
Does the business rent or lease tangible personal property to others who then use the
property in Arkansas?
12.
Does the business license intangible personal property for use in Arkansas?
13.
Does the business maintain a security interest/mortgage in property until the contract price
or amount borrowed has been paid?
14.
Does the business have any display merchandise in leased space in Arkansas?
15.
Does the business have any consigned stock of goods in Arkansas?
16.
Does the business have an Arkansas telephone number, a listing in an Arkansas telephone
directory or use an Arkansas telephone answering service?
17.
Does the business have employees working or residing in Arkansas?
If yes, do the Arkansas employees solicit orders for the sale of:
a. Real Estate?
b. Services?
c. Tangible personal property?
d. Intangible property?
18.
Do employees investigate, recommend or appoint potential dealers, agents or distributors
for the company in Arkansas.
19.
Does the business have agents, representatives, or independent contractors selling
products in Arkansas?
If yes, are they forbidden from selling or promoting competitor's products or services?

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