Form Nexus - Nexus Questionnaire Page 8
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9Provide a detailed explanation for all questions that were answered yes. Refer to questions answered by part and number.
In addition, include any other information that may be useful in determining if your business has a filing requirement in
Montana. If the space provided is not sufficient, please include additional pages with references to applicable questions.
I declare, under the penalty of false swearing, that the information provided in this questionnaire and any accompanying
schedules and statements is, to the best of my knowledge, true, correct and complete.
___________________
______________________________________
______________________________
Date
Signature of Officer
Title
______________________________________
Written Name
Page 8
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