Form Cr-16 - Kansas Business Tax Application Page 2
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4ENTER YOUR EIN: ___ ___ ___ ___ ___ ___ ___ ___ ___
OR
SSN: ___ ___ ___ ___ ___ ___ ___ ___ ___
PART 3
(continued)
12. List all Kansas registration numbers currently in use: _________________________________________________________________
13. List all registration numbers that need to be closed due to the filing of this application: ______________________________________
____________________________________________________________________________________________________________
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14. Are you registered with Streamlined Sales Tax (SST)?
No
Yes If yes, enter your SST ID #:
S
___ ___ ___ ___ ___ ___ ___ ___
PART 4
– LOCATION INFORMATION
(If you have only one business location, complete Part 4. If you have more than one business
location, complete Part 4 and Form CR-17, page 13, for each additional location.)
1. Trade Name of Business: _______________________________________________________________________________________
2. Business Location (include apartment, suite, or lot number): ___________________________________________________________
City ____________________________________ County ___________________ State ________
Zip Code ___________________
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3. Is the business location within the city limits?
No
Yes
If yes, what city? _______________________________________
4. Describe your primary business activity: ___________________________________________________________________________
Enter business classification NAICS Code (if known): _______________________
5. Business phone number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
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6. Is your business engaged in renting or leasing motor vehicles?
No
Yes Are the leases for more than 28 days?
No
Yes
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7. Is this location a hotel, motel, or bed and breakfast?
No
Yes
If yes, number of sleeping rooms available for rent/lease: ________
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8. Do you sell new tires and/or vehicles with new tires?
No
Yes
Estimate your monthly tire tax ($.25 per tire): $ ____________
9. If you are a dry cleaner or laundry retailer, do you have satellite locations or agents in businesses not classified as a dry cleaning or laundry
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facility?
No
Yes If yes, enclose additional page listing name, business type, address, city, state and zip code of each satellite location.
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10. Are you a public water supplier making retail sales of water delivered through mains, lines, or pipes?
No
Yes
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11. Do you make retail sales of motor vehicle fuels or special fuels?
No
Yes If yes, you must also have a Kansas Motor Fuel Retailers
License. Complete and submit an application (MF-53) for each retail location.
PART 5
– SALES/COMPENSATING USE TAX
1. Date retail sales/compensating use began (or will begin) in Kansas under this ownership: _____ _____ _____
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Do you operate more than one business location in Kansas?
No
Yes If yes, how many? _________ (Complete a Form CR-17 for
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each location in addition to the one listed in Part 4. Sales for all locations are reported on one return.)
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3. Will sales be made from various temporary locations?
No
Yes
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4. Do you ship or deliver merchandise to Kansas customers?
No
Yes
5. Do you purchase merchandise, equipment, fixtures and other items outside Kansas for your own use (not for resale) in Kansas on which
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you are not charged a sales tax?
No
Yes
6. Estimate your annual Kansas sales or compensating use tax liability:
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$80 and under (annual filer)
$81 - $3,200 (quarterly filer)
$3,201 - $32,000 (monthly filer)
$32,001 and above (pre-paid monthly filer)
7. If your business is seasonal, list the months you operate: _____________________________________________________________
8. Are you performing labor services in connection with the construction, reconstruction, or repair of commercial buildings or facilities?
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No
Yes
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9. Do you sell natural gas, electricity, or heat (propane gas, LP gas, coal, wood) to residential or agricultural customers?
No
Yes
PART 6
– WITHHOLDING TAX
1. Reason for Kansas withholding tax registration (check all that apply; see instructions).
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Withholding on wages; taxable payments other than wages; or pensions, annuities, or deferred compensation
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Withholding on Kansas taxable income of nonresident partners, shareholders or members of a partnership, S corporation, LLP or LLC
2. Date you began making payments subject to Kansas withholding: _____ _____ _____
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3. Estimate your annual Kansas withholding tax:
$200 and under (annual filer)
$201 to $1,200 (quarterly filer)
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$1,201 to $8,000 (monthly filer)
$8,001 to $100,000 (semi-monthly filer)
$100,001 and above (quad-monthly filer)
4. If your withholding reports and returns are prepared by a payroll service, complete the following information about the payroll company:
Name: ______________________________________ EIN: __ __ __ __ __ __ __ __ __ Phone: __ __ __ __ __ __ __ __ __ __
Address: ____________________________________ City _________________________ State _______ Zip Code ____________
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