Kansas Business Tax Application and Instructions

Kansas Business Tax Application

PART 1 – REASON FOR APPLICATION (mark one)

Registering for additional tax type(s)

Started a new business

Purchased an existing business. Enter federal Employer ID Number (EIN) of previous owner:

PART 2 – TAX TYPE (check all that apply)

Retailers’ Sales Tax

Retailers’ Compensating Use Tax

Consumers’ Compensating Use Tax

Withholding Tax

Transient Guest Tax

Tire Excise Tax

Vehicle Rental Excise Tax

Dry Cleaning Surcharge

Liquor Enforcement Tax

Liquor Drink Tax

Cigarette Vending Machine Permit

Retail Cigarette/Electronic Cigarette License

Corporate Income Tax

Privilege Tax

Nonresident Contractor

Water Protection/Clean Drinking Water Fee

PART 3 – BUSINESS INFORMATION (please type or print)

1. Type of Ownership (check one):

Sole Proprietor

Limited Partnership

General Partnership

Limited Liability Partnership

Limited Liability Company

Federal Government

Other Government

Non-Profit Corporation

Limited Liability Sole Member

Other:

S Corporation Date of Incorporation: State of Incorporation:

C Corporation Date of Incorporation: State of Incorporation:

2. Business Name:

3. Business Mailing Address:

City: County: State: Zip Code:

4. Business Phone: Business Fax:

Email:

5. Business Contact Person

Name: SSN:

Country: Contact Address:

City: State: Zip Code: County:

Phone: Email:

6. Federal Employer Identification Number (EIN):

7. Accounting Method (check one): Cash Basis Accrual Basis

8. Describe your primary (taxable) business activity:

Enter business classification NAICS Code:

9. Parent Company Name (if applicable):

Parent Company EIN:

Parent Company Address:

City: County: State: Zip Code:

10. Subsidiaries (if applicable)

Name: EIN:

Company Address:

City: County: State: Zip Code:

Name: EIN:

Company Address:

City: County: State: Zip Code:

PART 3 – CONTINUED

11. Have you or any member of your firm previously held a Kansas tax registration number? No Yes If yes, list previous number or name of business:

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:

14. Are you registered with Streamlined Sales Tax (SST)? No Yes If yes, enter SST ID #:

PART 4 – LOCATION INFORMATION

1. Trade name of business:

2. Business Location:

City: County: State: Zip Code:

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:

5. Business phone number:

6. Is your business engaged in renting or leasing motor vehicles? Yes No Are the leases for more than 28 days? Yes No

7. Is this location a hotel, motel, or bed and breakfast? No Yes If yes, number of sleeping rooms available for rent/lease:

If 3 rooms or less, do you have retail sales or rentals other than those included in the price of the sleeping accommodations? Yes No

8. Do you sell new tires and/or vehicles with new tires? Yes No 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 facility? No Yes

10. Are you a public water supplier making retail sales of water delivered through mains, lines, or pipes? Yes No

11. Do you make retail sales of motor vehicle fuels or special fuels? No Yes

PART 5 – SALES TAX AND COMPENSATING USE TAX

1. Date retail sales/compensating use began (or will begin) in Kansas under this ownership:

2. Do you operate more than one business location in Kansas? No Yes If yes, how many?

3. Will sales be made from various temporary locations? Yes No

4. Do you ship or deliver merchandise to Kansas customers? Yes No

5. Do you purchase merchandise, equipment, fixtures, and other items outside Kansas for your own use (not for resale) in Kansas on which you are not charged a sales tax? Yes No

6. Estimate your annual Kansas sales or compensating use tax liability:

$400 and under (annual filer)

$401 - $4,000 (quarterly filer)

$4,001 and more (monthly filer)

7. If your business is seasonal, list the months you operate:

8. Do you perform labor services in connection with the construction, reconstruction, or repair of commercial buildings or facilities? Yes No

9. Do you sell natural gas, electricity, or heat to residential or agricultural customers? Yes No

10. Are you a remote seller? Yes No

11. Are you a marketplace facilitator? Yes No

12. As a marketplace facilitator, do you wish to report your retailer's compensating use tax separately? Yes No

PART 6 – WITHHOLDING TAX

1. Date you began making payments subject to Kansas withholding:

2. Estimate your annual Kansas withholding tax:

$200 and under (annual filer)

$201 to $1,200 (quarterly filer)

$1,201 to $8,000 (monthly filer)

$8,001 to $100,000 (semi-monthly filer)

$100,001 and above (quad-monthly filer)

3. Payroll company information

Name: EIN: Phone:

City: County: State: Zip Code:

4. Did you hire a home health provider / FMS? No Yes

If yes, provide name and EIN of the FMS.

Name: EIN:

PART 7 – CORPORATE INCOME TAX OR PRIVILEGE TAX

1. Date corporation began doing business in Kansas or deriving income from sources within Kansas:

2. Name and EIN you will use to report federal income/expenses:

Name: EIN:

3. If your business is a financial institution:

Bank Savings and Loan

4. Check type of tax year: Calendar Year Fiscal Year If fiscal year, provide year-end date Month Day

5. If your business is a cooperative or political subdivision:

Cooperative Political Subdivision

PART 8 – LIQUOR ENFORCEMENT TAX

1. Date of first sales of alcoholic liquor:

2. Check type of license:

Retail Liquor Store

Distributor

Microbrewery or Microdistillery

Producer

Farm Winery/Outlet

Special Order Shipping

Farmers Market Sales Permit

Other

3. Will you be selling other goods or services in addition to alcoholic liquor? Yes No

PART 9 – LIQUOR DRINK TAX

1. Date of first sales of alcoholic beverages:

2. Check type of license:

Class “A” or “B” Club

Public Venue

Caterer

Producer

Hotel or Hotel/Caterer

Drinking Establishment

Drinking Establishment/Caterer

Other

PART 10 – CIGARETTE TAX AND CONSUMABLE MATERIAL TAX

1. Do you make retail sales of regular and/or electronic cigarettes over-the-counter, by mail, by phone, or over the internet? No Yes

Email or Web page address:

2. If you sell regular cigarettes, provide wholesaler(s):

3. If you sell electronic cigarettes, provide wholesaler(s):

4. Will you be the operator of cigarette vending machines? No Yes

5. Name of the company/corporation with whom you have a fuel supply agreement/retailing agreement:

6. Consumable material tax registration note:

PART 11 – NONRESIDENT CONTRACTOR

1. Total amount of this contract: $

2. Required bond: $1,000 8% of Contract 4% of Contract

3. List who contract is with: Phone:

4. Location of Kansas project:

City: County: State: Zip Code:

5. Starting date of contract: Estimated contract completion date:

6. Subcontractor’s name:

Street Address:

City: State: ZIP Code:

7. Subcontractor’s EIN:

8. Subcontractor’s portion of contract: $

PART 12 – OWNERSHIP DISCLOSURE AND SIGNATURE STATEMENT

List ALL owners, partners, corporate officers, and directors. Provide the personal information and signatures of all persons who have control or authority over how business funds or assets are spent.

Certification: To the best of my knowledge and belief the information on this application is true, correct, and complete.