Form 10a100(P) - Kentucky Tax Registration Application Page 4

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10A100(P)(08-16)

Page 4

Transient Room Tax Account

Yes

35. Will you rent temporary lodging to others? (See instructions for definition of “temporary. ” ) ................................................................



Motor Vehicle Tire Fee Account

36. Will you sell new tires for motor vehicles? ..................................................................................................................................................



Commercial Mobile Radio Service (CMRS) Prepaid Service Charge Account

37. Will you sell cellular phones with preloaded minutes, prepaid cellular phone cards, or recharge cellular phones and cards

with minutes? .................................................................................................................................................................................................



Utility Gross Receipts License Tax Account and/or Telecommunications Tax Account

38. Were you approved for an Energy Direct Pay Authorization with a Utility Gross Receipts License Tax Exemption?

(Attach a copy of your official UGRLT Exemption Authorization.)..............................................................................................................



39. Will you sell any of the following?

Yes No

  A. Water utilities

  E. Communications services

  B. Natural, artifical, or mixed gas utilities

  F.

Multichannel video programming services

*(see instructions)

  C. Electricity

  G. Direct broadcast satellite services

  D. Sewer services

*(see instructions)

If you answered “Yes” to any of questions 23 through 39 E, you must complete SECTION E.

If you answered “Yes” to any of questions 38 through 39 F, you must complete SECTION F.

If you answered “Yes” to any of questions 39 E through 39 G, you must complete SECTION G.

CONTINUE

The following question will determine your need for a Consumer’s Use Tax Account.

Skip question 40 if you must complete Section E.

Yes

40. Will you make purchases from out-of-state vendors and not pay Kentucky Sales or Use Tax to the seller on those purchases? .......



If you are a PROFESSIONAL SERVICE business or if your business will make a one-time purchase only, please see

instructions for important additional details.

If you answered “Yes” to question 40, you must complete SECTION H.

CONTINUE

The following questions will determine your need for a

Corporation Income Tax Account and/or a Limited Liability Entity Tax Account.

If your answer to questions 13 and 14 was NOT

Sole Proprietorship, HCSR, Qualified Joint Venture, Estate, Government,

General Partnership taxed as a Partnership, or Joint Venture taxed as a Partnership,

you must complete questions 41 through 47.

Yes

41. Are you organized under the laws of Kentucky with the Kentucky Secretary of State’s Office? ..............................................................



42. Will your business have its commercial domicile in Kentucky? .................................................................................................................



43. Will your business own or lease any real or tangible property in Kentucky? ...........................................................................................



44. Will your business have one or more individuals performing services in Kentucky? ..............................................................................



45. Will your business maintain an interest in a pass-through entity or derive income from Kentucky sources? ......................................



46. Will you direct activities toward Kentucky customers for the purpose of selling them goods and/or services? ...................................



47. Will your business own/lease any intangible property or receive payments from a related member as defined in KRS 141.205(1)(g)

or an unrelated party for the use of intangible property in Kentucky such as royalties, franchise agreements, patents, trademarks,

etc.? .................................................................................................................................................................................................................



If you answered “Yes” to any of questions 41 through 47, you must complete SECTION I.

CONTINUE