Form Cr-16 - Kansas Business Tax Application

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KANSAS BUSINESS TAX APPLICATION
RCN
PART 1
Note: If registered but adding another
– REASON FOR APPLICATION
(mark one):
business location, you need only
FOR OFFICE USE ONLY
ˆ
complete Schedule CR-17 (page 13).
Registering for additional tax type(s)
ˆ
Started a new business
ˆ
Purchased an existing business. Enter federal Employer ID Number (EIN) of previous owner: ___ ___ ___ ___ ___ ___ ___ ___ ___
See instructions on page 2 for important Tax Clearance information.
PART 2
– TAX TYPE
(check the box for each tax type or license requested and complete the required Parts of this application):
ˆ
ˆ
ˆ
Retailers’ Sales Tax
Dry Cleaning Surcharge
Nonresident Contractor
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 5, 11 & 12)
ˆ
ˆ
ˆ
Retailers’ Compensating Use Tax
Liquor Enforcement Tax
Water Protection/Clean Drinking Water Fee
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 8 & 12)
(Complete Parts 1, 2, 3, 4, 5 & 12)
ˆ
ˆ
Consumers’ Compensating Use Tax
Liquor Drink Tax
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 9 & 12)
IMPORTANT:
Businesses
are
ˆ
ˆ
Withholding Tax
Cigarette Vending Machine Permit
required to
electronically
file
(Complete Parts 1, 2, 3, 4, 6 & 12)
(Complete Parts 1, 2, 3, 4, 5, 10 & 12)
ˆ
ˆ
returns and/or reports for
Retailers’
Transient Guest Tax
Retail Cigarette/Electronic Cigarette License
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 5, 10 & 12)
Sales,
Compensating
Use, and
ˆ
ˆ
Tire Excise Tax
Corporate Income Tax
Withholding
tax . See the electronic
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 7 & 12)
file and pay options available to you
ˆ
ˆ
Vehicle Rental Excise Tax
Privilege Tax
on page 8 or visit .
(Complete Parts 1, 2, 3, 4, 5 & 12)
(Complete Parts 1, 2, 3, 4, 7 & 12)
PART 3
– BUSINESS INFORMATION
(please type or print):
ˆ
ˆ
ˆ
1. Type of Ownership (check one):
Sole Proprietor
Limited Partnership
General Partnership
ˆ
ˆ
ˆ
ˆ
Limited Liability Partnership
Limited Liability Company
Federal Government
Other Government
ˆ
ˆ
Non-Profit Corporation
Other __________________________________________________________________
ˆ
S Corporation
Date of Incorporation: Month ______ Day ______ Year _________
State of Incorporation __________________
ˆ
C Corporation
Date of Incorporation: Month ______ Day ______ Year _________
State of Incorporation __________________
2. Business Name: ______________________________________________________________________________________________
3. Business Mailing Address (include apartment, suite, or lot number): ______________________________________________________
City ____________________________________ County _____________________ State _________ Zip Code _________________
4. Business Phone: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Business Fax: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
E-mail: ______________________________________________________________________________________________________
5. Business Contact Person: __________________________________________
Phone: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
6. Federal Employer Identification Number (EIN): ___ ___ ___ ___ ___ ___ ___ ___ ___
(DO NOT enter Social Security number here)
ˆ
ˆ
7. Accounting Method (check one):
Cash Basis
Accrual Basis
8. Describe your primary (taxable) business activity: _____________________________________________________________________
Enter business classification NAICS Code from Pub. KS-1500 (see instructions): ___________________________________________
9. Parent Company Name (if applicable): _____________________________________________________________________________
Parent Company EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___
Parent Company Address (include apartment, suite, or lot number): ______________________________________________________
City ____________________________________ County _____________________ State _________ Zip Code _________________
10. Subsidiaries (if applicable). If more than two, list them on a separate sheet and enclose it with this form.
Name: _______________________________________________________________ EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___
Company Address (include apartment, suite, or lot number): ____________________________________________________________
City ____________________________________ County _____________________ State _________ Zip Code _________________
Name: _______________________________________________________________ EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___
Company Address (include apartment, suite, or lot number): ____________________________________________________________
City ____________________________________ County _____________________ State _________ Zip Code _________________
ˆ
ˆ
11. Have you or any member of your firm previously held a Kansas tax registration number?
No
Yes If yes, list previous number or
or name of business: __________________________________________________________________________________________
FOR OFFICE
CR-16 (Rev. 10/13)
USE ONLY
9

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