Form St101 - Minnesota Business Activity Questionnaire For Determining Sales Tax Nexus
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5ST101
Minnesota Business Activity Questionnaire
for Determining Sales Tax Nexus
Legal name of business
Federal employer ID number (FEIN)
Date income year ends
Home office mailing address
Phone
Fax
City
State
Zip code
Web address
Email address
Type of business
State/year of incorporation or organization
Year of subchapter S election
Corporation
S corporation
Partnership
Other
If S corporation or partnership, enter:
Number of shareholders or partners
Percentage ownership of the partner/shareholder owning the largest share
%
Prior business names and dates of incor p oration or organization, if any
Principal product or service
Brand names of products or ser vices
States or countries from where products/services are marketed or shipped
Answer all questions with regard to the business listed above. Attach additional sheets if necessary to explain your answers.
Enclose a copy of your most recent annual report.
Section A
1 Are you registered with the Secretary of State to do business in Minnesota ? . . . . . . . . . . . . . . . . . . . . . . . .
Ye s
No
If yes, enter the date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
/
/
2 Check the tax types for which you ha ve filed a Minnesota retur n. Enter the years filed and FEIN if different from abo ve.
Corporation franchise tax. . . . . . . . . . .
.
From
to
FEIN
S corporation income tax. . . . . . . . . . .
.
From
to
FEIN
Partnership income tax. . . . . . . . . . . .
.
From
to
FEIN
Sales/use tax. . . . . . . . . . . . . . . . . . .
.
From
to
FEIN
Withholding tax/unemployment tax. . . .
.
From
to
FEIN
3 Have you made Minnesota retail sales of products? If yes, what types of products or ser vices have you sold?.
Ye s
No
4 Have you sold products by mail-order or Internet to Minnesota consumer s? If yes, what types of products
have you sold?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ye s
No
5 Do you have a regional office ser ving Minnesota? If yes, enter the office location and the states it ser ves. . . .
Ye s
No
Location
State(s)
6 Is your business listed in a Minnesota phone directory? If yes, enter city and phone number. . . . . . . . . . . . . .
Ye s
No
City
Phone
7 Do you have an employee(s) working for your business in Minnesota?
If yes, enter dates worked . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . From
/
/
to
/
/
8 Enter the date you began marketing or shipping your products/services in Minnesota . . . . . . . . . . . . .
/
/
9 List the states from which Minnesota destination sales are shipped or delivered, and answer the
following questions. Attach a separate sheet if necessar y.
a. Do you have a distribution center located in Minnesota? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ye s
No
b. Describe your fulfillment process for Minnesota destination sales.
c. To whom do you refer your customers for ser vicing? Provide name, address and phone number.
Continued
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Minnesota Business Activity Questionnaire—Sales Tax Nexus
(Rev. 5/13)
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Parent category: Financial