Form Nexus - Nexus Questionnaire Page 7

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Part V. Other
1. Does your business have a toll-free telephone number available for use by Montana residents? ...........
Yes
No
If yes, please provide ___________________________________________
2. How do your customers in Montana usually transmit their purchase order to your business?
a) By mail? ..............................................................................................................................................
Yes
No
b) By handling it through your representative? .......................................................................................
Yes
No
c) Other? (specify) ______________________________________________________________ ....
Yes
No
3. How are deliveries made into Montana?
a) By common carrier? ...........................................................................................................................
Yes
No
b) By your vehicle? .................................................................................................................................
Yes
No
c) If by vehicle, are such vehicles owned or leased by your business? .................................................
Yes
No
d) Are deliveries to customers in Montana always made from an out-of-state location? ........................
Yes
No
4. Does your business maintain a bank account in a bank in Montana? ......................................................
Yes
No
5. Does your business provide intrastate or interstate communication service or equipment to Montana
businesses or residents? ..........................................................................................................................
Yes
No
6. Does your business have a distribution center located in Montana? ........................................................
Yes
No
7. Does your business operate a mobile store in Montana? .........................................................................
Yes
No
8. Does your business provide representatives or booths at trade shows in Montana? ...............................
Yes
No
9. Do you or any affiliates sell products into Montana via catalog sales or internet sales? ..........................
Yes
No
10. Do you provide services as a professional service provider (such as a law firm, accounting firm, etc.)
in Montana? ..............................................................................................................................................
Yes
No
11. Is the business a freight carrier? If yes, provide a detailed explanation of the miles traveled in
Montana, the trips made into Montana, and the number of pickups and deliveries made in Montana
for each year. ............................................................................................................................................
Yes
No
12. Does your business engage in any franchise operations in Montana? .....................................................
Yes
No
13. Does the business license computer software for use in Montana? .........................................................
Yes
No
14. Is the business or its affiliates involved in offering vehicle loans, personal loans, mortgages or
credit cards to Montana residents? If yes, provide the name and FEIN of those companies and brief
description of their business activities. ......................................................................................................
Yes
No
15. Does your business receive payments for the use of trademarks or trade names in Montana? ..............
Yes
No
16. Do you or an affiliate own an interest in mineral rights in Montana, including interests in coal, oil or
natural gas? ..............................................................................................................................................
Yes
No
17. Does your business receive royalty payments and/or receipts from other intangibles in Montana? ........
Yes
No
18. Do any affiliates engage in any activities in this state that are listed in this questionnaire? If yes,
indicate the business’ name, FEIN and which activities it was engaged in. ..............................................
Yes
No
Page 7

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