Form Mc101 - Business Activity Questionnaire For Determining Minnesotacare Tax Nexus Page 4
Download a blank fillable Form Mc101 - Business Activity Questionnaire For Determining Minnesotacare Tax Nexus in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Mc101 - Business Activity Questionnaire For Determining Minnesotacare Tax Nexus with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
43 Check all activities that affiliated companies perform . If checked, enter the names of the affiliated companies that perform
the activities, Minnesota tax ID numbers and dates the activities were performed . Attach additional sheets, if necessary .
File income tax in Minnesota .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
File sales tax in Minnesota .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
File withholding (payroll) tax in Minnesota .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
Make mail-order sales to Minnesota customers .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
Have destination sales in, or receipts from, Minnesota .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
Solicit, distribute or service products in Minnesota of other members of affiliated group .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
Perform services or provide facilities for affiliated companies in Minnesota .
Name
Minn . ID
From
to
Name
Minn . ID
From
to
Sign here
I declare that the information furnished in this report, including accompanying statements, contracts and schedules, is true, correct
and complete to the best of my knowledge and belief.
Signature
Date
Name of person who completed questionnaire
Title
Daytime phone
(
)
Enclose a copy of your most recent annual report.
Mail or fax to: MinnesotaCare Tax Division, Mail Station 6100, St . Paul, MN 55146-6100 .
Fax: 651-556-5233 .
Questions: E-mail MinnesotaCare .tax@state .mn .us or call 651-282-5533 .
TTY: Call 711 for Minnesota Relay . Other formats available upon request .
4
Minnesota Business Activity Questionnaire—MinnesotaCare Tax Nexus
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial