Form Nexus - Nexus Questionnaire Page 2
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9Part I. General Questions - Continued
9. List all the states in which you conduct business activities ________________________________________________
_____________________________________________________________________________________________
10. Are you a member (parent or subsidiary) of a consolidated group for federal income tax purposes? If
yes, provide the name and FEIN of the ultimate U.S. parent. ...................................................................
Yes
No
Name _______________________________________________________ FEIN ____________________________
11. List all subsidiaries, divisions, disregarded entities or parent corporations engaged in any activities
within Montana (include additional pages if needed).
Name
Relationship
Address
FEIN
a) _________________________ ________________
_________________________ _______________
b) _________________________ ________________
_________________________ _______________
c) _________________________ ________________
_________________________ _______________
d) _________________________ ________________
_________________________ _______________
12. Have you or an affiliate ever filed Corporate License Tax returns with Montana? If yes, provide the
date of last return, and name and FEIN under which return was filed. .....................................................
Yes
No
Date _____________________
Name _________________________________
FEIN __________________
13. Have you or an affiliate ever filed any other tax returns in Montana (for example, withholding, S
corporation, partnership, liquor, etc.)? ......................................................................................................
Yes
No
a) If yes, provide the type of return, and name and FEIN under which the return was filed (include
additional pages if needed).
Type _____________________ Name ________________________________
FEIN __________________
Type _____________________ Name ________________________________
FEIN __________________
Type _____________________ Name ________________________________
FEIN __________________
b) If you or an affiliate have filed withholding returns in Montana, please provide an explanation of
those employees’ activities.
14. Is your business registered with another Montana state agency (for example, the Department of Labor
and Industry for unemployment insurance or worker’s compensation, the State Auditor’s Office for
premiums tax, etc.)? If yes, provide the state agency, and name and FEIN under which the business
registered (include additional pages if needed). .......................................................................................
Yes
No
Agency _____________________
Name ________________________________ FEIN __________________
Agency _____________________
Name ________________________________ FEIN __________________
Agency _____________________
Name ________________________________ FEIN __________________
15. Is the business a partner in a partnership that has operations, conducts business or owns property
in Montana? If yes, provide the name and FEIN of the partnership with activity in Montana (include
additional pages if needed). ......................................................................................................................
Yes
No
Name ________________________________________________________ FEIN _________________________
Name ________________________________________________________ FEIN _________________________
Name ________________________________________________________ FEIN _________________________
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