Form Nexus - Nexus Questionnaire Page 5
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9Part IV. Payroll
1. Does or did the business have any employees or other representatives (resident or nonresident) who
a) solicit sales in Montana? ....................................................................................................................
Yes
No
b) perform services in Montana? ............................................................................................................
Yes
No
c) perform any other activities or otherwise act on the business’ behalf in Montana? ...........................
Yes
No
d) If yes to any of the above, provide the name, address, relationship, territory covered and a brief
description of position, nature and scope of duties and principal responsibilities.
2. Does your Montana sales personnel work in states other than Montana? If yes, provide the
approximate percentage of their time in Montana. __________ % .........................................................
Yes
No
3. Does or did the business pay any salaries, wages, fees or commissions to any Montana residents? .....
Yes
No
4. Does or did the business have Montana residents who did not perform work in Montana? If yes,
provide a brief description of position, nature and scope of duties and principal responsibilities. ............
Yes
No
5. Does the business have employees or other representatives whose base of operations is in another
state, but whose duties include occasional calls upon customers or clients in Montana? ........................
Yes
No
6. Does or did the business have an independent contractor that is used in Montana? ...............................
Yes
No
a) Does the independent contractor represent any other businesses? ..................................................
Yes
No
b) Does the independent contractor have to obtain your business’ permission to represent another
business? ...........................................................................................................................................
Yes
No
7. Does the business compensate such representatives or employees by
a) straight commission? ..........................................................................................................................
Yes
No
b) salary plus commission? ....................................................................................................................
Yes
No
c) expense account? ..............................................................................................................................
Yes
No
d) other? (specify) _______________________________________________________________ ....
Yes
No
8. Do you use a standard form or written agreement with employees in Montana? If yes, provide a copy
for our review. ...........................................................................................................................................
Yes
No
9. Does any employee or representative maintain
a) an in-home office in Montana? (an office is considered in-home if it is located within the residence
of the employee or representative.) ....................................................................................................
Yes
No
b) an office other than an in-home office in Montana? ...........................................................................
Yes
No
c) If yes to either of the above, answer the following questions regarding the office in Montana...........
Yes
No
i)
List it as a business address? ......................................................................................................
Yes
No
ii) Receive business calls there? .....................................................................................................
Yes
No
iii) Store inventory there? If yes, provide the dollar amount of inventory. __________________ ....
Yes
No
iv) Store samples there? If yes, provide the dollar amount of samples. ___________________ ....
Yes
No
v) Use office equipment (computer, typewriter, furniture, etc.) supplied by the business? If yes,
provide the value of equipment in Montana _____________________________________ .....
Yes
No
vi) Receive any office expense reimbursement from the business? .................................................
Yes
No
vii) Maintain books or records for the business? ...............................................................................
Yes
No
viii) Use the office for any purpose other than soliciting and receiving orders from customers or for
transmitting orders outside of Montana for acceptance or rejection by the business? ................
Yes
No
Page 5
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Parent category: Financial