Form Tc-51 - Nexus Questionnaire Page 2
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3Yes
No
10. Does the company engage in any activity in connection with the leasing or servicing of property located in Utah? .......................
Yes
No
11. Does the company have or has it ever had a security interest in any real or personal property sold or located in Utah? ...............
Yes
No
12. Does the company have any employees, commissioned agents, independent contractors or other representatives .....................
residing, selling, soliciting or performing services in Utah? If YES, list on a separate sheet the year(s) in which your
employees or other representatives began performance of these activities in Utah.
Employee and Contract Agent Information
Employee and Contract Agent Information
The following questions pertain to the type of activities performed by the employees or independent contract agent(s) within Utah.
13. Does the company have any employees, sales representatives, commission agents or independent contractors
that carry out or that are responsible for any of the following activities in Utah?
Yes
No
a.
Making repairs or providing maintenance ................................................................................................................................
Yes
No
b.
Collecting delinquent accounts ................................................................................................................................................
Yes
No
c.
Investigating credit worthiness .................................................................................................................................................
Yes
No
d.
Installing or supervision of installation .....................................................................................................................................
Yes
No
e.
Conducting training courses, seminars or lectures ..................................................................................................................
Yes
No
f.
Providing any kind of technical assistance or service when a purpose of that assistance or service is something ................
other than the facilitation or solicitation of orders
Yes
No
g.
Handling customer complaints ................................................................................................................................................
Yes
No
h.
Approving or accepting orders ................................................................................................................................................
Yes
No
i.
Repossessing property ............................................................................................................................................................
Yes
No
j.
Securing deposits on sales ......................................................................................................................................................
Yes
No
k.
Picking up or replacing damaged or returned property ............................................................................................................
Yes
No
l.
Hiring, training or supervising personnel, other than personnel involved only in solicitation ...................................................
Yes
No
m.
Using agency stock checks or any other instrument by which sales are made within Utah by sales personnel .....................
Yes
No
n.
Maintaining sample or display room in excess of two weeks (14 days) during the year ..........................................................
Yes
No
o.
Carrying samples for sale, exchange or distribution in any manner for consideration or other value .....................................
Yes
No
p.
Consigning tangible personal property to any person, including an independent contractor ..................................................
q.
Owning, leasing, maintaining or otherwise using any of the following facilities or property in state of Utah
Yes
No
1.
Repair shop .....................................................................................................................................................................
Yes
No
2.
Parts department .............................................................................................................................................................
Yes
No
3.
Any kind of office other than an in-home office ................................................................................................................
Yes
No
4.
Warehouse ......................................................................................................................................................................
Yes
No
5.
Meeting place for directors, officers or employees ..........................................................................................................
Yes
No
6.
Stock of goods .................................................................................................................................................................
Yes
No
7.
Telephone answering service ..........................................................................................................................................
Yes
No
8.
Mobile stores, i.e., trucks with driver salesmen ...............................................................................................................
Yes
No
9.
Real property or fixtures of any kind ................................................................................................................................
Yes
No
r.
Maintaining, by either an in-state or an out-of-state resident employee, an office or place of business of any .......................
kind other than an in-home office
Yes
No
s.
Entering into franchising or licensing agreements ...................................................................................................................
Yes
No
t.
Shipping or delivering goods into Utah by means of private vehicle, rail, air or other carrier ..................................................
Yes
No
14. Does the company have a standard form or written agreement with employees, sales representatives, commissioned ................
agents or independent contractors? If YES, enclose a sample copy.
Yes
No
15. Are commissioned agents/independent contractors forbidden (by contractual agreement or otherwise) from selling or ................
promoting your competitors' products?
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