Form Cr-16 - Kansas Business Tax Application - 2017 Page 2
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ENTER YOUR EIN: ____________________________________
SSN: __________________________________
PART 3
(continued)
12. List all Kansas registration numbers currently in use: _______________________________________________________________________________
13. List all registration numbers that need to be closed due to the filing of this application: _______________________________________________
__________________________________________________________________________________________________________________________________
S
______________________________
14. Are you registered with Streamlined Sales Tax (SST)?
No
Yes
If yes, enter SST ID #: __
PART 4
– LOCATION INFORMATION
(If you have only one business location, complete Part 4. If you have more than one location,
complete Part 4 and Form CR-17 for each additional location. This form is on page 15).
1. Trade name of business: __________________________________________________________________________________________________________
2. Business Location (include apartment, suite, or lot number): ________________________________________________________________________
City ____________________________________ County __________________________________ State _________
Zip Code __________________
Yes If yes, what city? ____________________________________________________
3. Is the business location within the city limits?
No
4. Describe your primary business activity: ___________________________________________________________________________________________
Enter business classification NAICS Code (if known): ______________________________________________________________________________
5. Business phone number: _______________________________
6. Is your business engaged in renting or leasing motor vehicles?
No
Yes Are the leases for more than 28 days?
No
Yes
Yes If yes, number of sleeping rooms available for rent/lease: _________
7. Is this location a hotel, motel, or bed and breakfast?
No
If 3 rooms or less, do you have retail sales or rentals other than those included in the price of the sleeping accommodations?
No
Yes
________________
8. Do you sell new tires and/or vehicles with new tires?
No
Yes Estimate your monthly tire tax ($.25 per tire): $
9. If you are a dry cleaner or laundry retailer, do you have satellite locations or agents in businesses not classified as a dry cleaning or laundry
facility?
No
Yes If yes, enclose a schedule with name, business type, address, city, state and zip code of each satellite location.
10. Are you a public water supplier making retail sales of water delivered through mains, lines, or pipes?
No
Yes
11. Do you make retail sales of motor vehicle fuels or special fuels?
No
Yes
If yes, you must also have a Kansas Motor Fuel
Retailers License. Complete and submit an application (MF-53) for each retail location.
PART 5
– SALES TAX AND COMPENSATING USE TAX
1. Date retail sales/compensating use began (or will begin) in Kansas under this ownership: ________________________
________ (Complete a Form CR-17
2. Do you operate more than one business location in Kansas?
No
Yes If yes, how many?
(page 15) for each location in addition to the one listed in Part 4. Sales for all locations are reported on one return.)
3. Will sales be made from various temporary locations?
No
Yes
4. Do you ship or deliver merchandise to Kansas customers?
No
Yes
5. Do you purchase merchandise, equipment, fixtures and other items outside Kansas for your own use (not for resale) in Kansas on
which you are not charged a sales tax?
No
Yes
6. Estimate your annual Kansas sales or compensating use tax liability:
$80 and under (annual filer)
$81 - $3,200 (quarterly filer)
$3,201 - $32,000 (monthly filer)
$32,001 and above (prepaid monthly filer)
7. If your business is seasonal, list the months you operate: ___________________________________________________________________________
8. Do you perform labor services in connection with the construction, reconstruction, or repair of commercial buildings or facilities?
No
Yes
9. Do you sell natural gas, electricity, or heat (propane gas, LP gas, coal, wood) to residential or agricultural customers?
No
Yes
PART 6
– WITHHOLDING TAX
1. Date you began making payments subject to Kansas withholding: ____________________________
2. Estimate your annual Kansas withholding tax:
$200 and under (annual filer)
$201 to $1,200 (quarterly filer)
$1,201 to $8,000 (monthly filer)
$8,001 to $100,000 (semi-monthly filer)
$100,001 and above (quad-monthly filer)
3. If your withholding reports and returns are prepared by a payroll service, complete the following information about the payroll company:
Name: _____________________________________________ EIN: ___________________________ Phone: ___________________________________
City: _________________________________________ County: ______________________________ State: ___________
Zip Code ______________
4. Did you hire a home health provider; commonly referred to as a Financial Management Service (FMS), to report withholding for this
registration?
No
Yes If yes, provide name and Employer ID Number (EIN) of the FMS.
Name: ____________________________________________________________________________________ EIN: ________________________________
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