41A800 (12-15)
Page 10
4.
An in-home office that is used for any purpose other than soliciting and
receiving orders from customers or for transmitting orders outside of
Kentucky for acceptance or rejection by the company?
¨
¨
YES
NO
If yes to any of the above questions, explain: _________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
z. Are you entering into franchising or licensing agreements, selling, or
otherwise disposing of franchises and licenses, or selling or otherwise
transferring tangible personal property pursuant to the franchise or license
by the franchisor or licensor to its franchisee or licensee within Kentucky?
¨
¨
YES
NO
If yes, explain: ___________________________________________________________
________________________________________________________________________
________________________________________________________________________
14.
Do you solicit orders for services in Kentucky?
¨
¨
YES
NO
If yes, explain: ___________________________________________________________
________________________________________________________________________
________________________________________________________________________
15. a. Are you the parent corporation of a qualified real estate investment trust
subsidiary that is doing business in Kentucky?
¨
¨
YES
NO
If yes, provide the name, identification number and address of each:
________________________________________________________________________
________________________________________________________________________
b. Are you the parent corporation of a qualified subchapter S subsidiary that is
doing business in Kentucky?
¨
¨
YES
NO
If yes, provide the name, identification number and address of each:
________________________________________________________________________
________________________________________________________________________