Form Rev 31 1454 - Pre-Consultation Visit Questionnaire

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PRE-CONSULTATION VISIT QUESTIONNAIRE
Please respond to the following items in black or blue ink
Tax Registration Number:
-
-
Date:
/
/
1.
Describe your business activity, including various sources of income:
2.
Do you receive miscellaneous income (i.e., commissions, interest,
Yes
No
royalties, rents)?
3.
Do you bill customers for freight/shipping charges? ...............................
Yes
No
4.
Do you separately bill customers for reimbursement of expenses? ...........
Yes
No
5.
Do you exchange goods/services for other goods/services? ....................
Yes
No
6.
Do you collect retail sales tax? ...........................................................
Yes
No
a. Have you remitted all retail sales tax collected?
Yes
No
7.
Have you sold business assets (i.e., equipment, furniture, fixtures)? .......
Yes
No
8.
Do you offer cash/trade discounts or other allowances? .........................
Yes
No
9.
Do you make sales or provide services to customers outside Washington? .
Yes
No
10.
Do you make in-state sales or provide services to:
a. Non-residents? ........................................................................
Yes
No
b. Native Americans?.....................................................................
Yes
No
c. Government agencies? ...............................................................
Yes
No
11.
Do you have uncollectible sales/bad debts? ..........................................
Yes
No
12.
Do you issue or accept exemption certificates for:
a. Resale (Reseller Permit)? ...........................................................
Yes
No
b. Manufacturer’s Machinery & Equipment? ......................................
Yes
No
c. Tax Deferrals? .........................................................................
Yes
No
d. Others? Describe:
Yes
No
13.
Have you ever requested a written opinion or ruling from the Department?
Yes
No
If yes, attach copy.
14.
Are you currently working with another division within the Department?
Yes
No
If yes, which division:
15.
Are there other specific issues or questions you would like to discuss
during the consultation visit? (If yes, please share your comments below.)
Yes
No
Business Name:
Contact Person
Best time for us
Telephone Number:
(
)
to contact you:
For tax assistance or to request this document in an alternate format, visit 
Teletype (TTY) users may call (360) 705‐6718. 
(Please see next page)
REV 31 1454 (8/10/12)

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