Minnesota Business Activity Questionnaire Form Page 4

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19. a) Does your business have non-resident employees, sales representatives, or commissioned agents who have activity in Minnesota?
Yes
No
b) If so, does your business have a job description or written agreement for them?
Yes
No
PROVIDE COPY OF JOB DESCRIPTION OR AGREEMENT.
20. Does your business have other employees or persons acting on your behalf who have activity in Minnesota?
Yes
No
PROVIDE COPY OF JOB DESCRIPTION OR AGREEMENT.
21. Does your business have employees who install your products in Minnesota or supervise the installation by others in Minnesota?
Yes
No
22. Do employees in Minnesota investigate, recommend, or appoint potential dealers, agents, or distributors?
Yes
No
23. Does anyone acting on your business's behalf repossess products in Minnesota?
Yes
No
24. Do employees ever repossess products in Minnesota?
Yes
No
Section C
Employee Activity
1. Do resident/non-resident employees with activity in Minnesota: (Check all that apply)
Have samples? If yes, value of samples: $ ______ What is done with samples? _____________________________________
Make “on the spot” sales of any items?
Approve customer orders in Minnesota?
Secure deposits on sales or merchandise or services in Minnesota?
Convey information concerning out-of-stock or shipping delays?
Check inventories of customers or distributors in Minnesota?
Advise customers or distributors as to minimum inventories?
Remove obsolete, damaged, or outdated inventories?
Pick-up or verify destruction of damaged, returned, or outdated merchandise in Minnesota?
Carry complaint forms which are completed by the employee and forwarded to the proper location for processing? PROVIDE COPY.
Process customer complaints in Minnesota?
Authorize credits, warranty adjustments or repairs?
Engage in any collection activity of any kind in Minnesota?
Make credit investigations in Minnesota?
2. Does any employee within Minnesota supervise or manage other employees or independent contractors who
perform non-sales activities in Minnesota?
Yes
No
If yes, job title: ______________________________________________________________________
If yes, provide copy of position description.
Percentage of time devoted to managing non-sales activities: _______%
Section D
Independent Contractors
1. Does your business engage independent contractors, agents, dealers, or franchisees to perform any activity in Minnesota?
If yes, describe activities, provide name and address of the parties. Also, provide copies of agreements.
Yes
No
2. Does your business require independent contractors, agents, or dealers to refrain from representing products other than yours?
Yes
No
3. Does your business require independent contractors, agents, or dealers to perform any of the activities in this questionnaire for
your business?
Yes
No
MBAQ WEB-PAGE 4

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