Form St101 - Minnesota Business Activity Questionnaire For Determining Sales Tax Nexus Page 2
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510 Have products been sent to Minnesota in returnable containers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ye s
No
If yes:
a. Do you retain ownership of the containers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ye s
No
b. Do you charge a deposit on the containers? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ye s
No
11 Check the activities performed using vehicles owned or leased b y the business.
Enter the years performed and frequency.
Deliver merchandise to Minnesota locations. . . . . . Years
Frequency
Pick up own merchandise for retur n
to out-of-state locations. . . . . . . . . . . . . . . . . . . . Years
Frequency
Pick up products owned by another business . . . . . Years
Frequency
Pick up merchandise from one Minnesota location
for delivery to another Minnesota location . . . . . . . Years
Frequency
Have vehicle driver or passenger(s) mak e sales . . . Years
Frequency
12 Do you own or lease terminals or fuel facilities in Minnesota? If yes, enter location . . . . . . . . . . . . . . . . . . . .
Ye s
No
13 Enter names, addresses and phone number s of your three largest Minnesota customer s.
a.
b.
c.
14 Enter your Minnesota destination sales (sales, gross earnings or receipts) for each of the past three year s.
yr
$
yr
$
yr
$
15 Enter your total company sales (sales, gross earnings or receipts) for each of the past three year s.
yr
$
yr
$
yr
$
Section B
1 Has your business at any time had an office, agency, warehouse or other place of business in Minnesota? . .
Ye s
No
If yes, enter dates, location and nature of activities.
2 Have you used free items or gifts to expand or sustain your market in Minnesota? . . . . . . . . . . . . . . . . . . . .
Ye s
No
If yes, enter amount of gifts or purchases delivered to Minnesota for each of the past three year s.
yr
$
yr
$
yr
$
3 Has your business at any time owned, leased or rented the following tangible or real proper ty located
and/or used in Minnesota.
a. Advertising materials . . . . . . . . . . .
Ye s
No
g. Office equipment . . . . . . . . . . . . .
Ye s
No
b. Industrial equipment . . . . . . . . . . . .
Ye s
No
h. Office space . . . . . . . . . . . . . . . .
Ye s
No
c. Leased equipment . . . . . . . . . . . . .
Ye s
No
i. Raw materials . . . . . . . . . . . . . . .
Ye s
No
d. Manuals . . . . . . . . . . . . . . . . . . . .
Ye s
No
j. Software licenses . . . . . . . . . . . . .
Ye s
No
e. Merchandise inventory . . . . . . . . . .
Ye s
No
k. Warehouse spaces . . . . . . . . . . .
Ye s
No
f. Motor vehicles . . . . . . . . . . . . . . . .
Ye s
No
l. Other
For items checked “yes,” enter the location, dates, and description of the proper ty. Attach additional sheets if necessar y.
Continued
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Minnesota Business Activity Questionnaire—Sales Tax Nexus
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