Kansas Business Tax Application

Kansas Business Tax Application

Please complete the applicable sections below. Use black or blue ink equivalents for typed entries.

Part 1 – Reason for Application

Select one reason for this application:

Registering for additional tax type(s)

Started a new business

Purchased an existing business. Previous owner EIN:

Part 2 – Tax Type

Check all tax types or licenses requested:

Retailers’ Sales Tax

Retailers’ Compensating Use Tax

Consumers’ Compensating Use Tax

Withholding Tax

Corporate Income Tax

Privilege 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

Nonresident Contractor

Water Protection/Clean Drinking Water Fee

Part 3 – Business Information

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:

Business Name:

Business Mailing Address:

City: County: State: Zip Code:

Business Phone: Business Fax:

Email:

Business Contact Person: Phone:

Federal Employer Identification Number (EIN):

Cash Basis Accrual Basis

Primary business activity:

NAICS Code:

Parent Company Name:

Parent Company EIN:

Parent Company Address:

City: County: State: Zip Code:

Part 4 – Location Information

Trade name of business:

Business Location:

City: County: State: Zip Code:

Within city limits? No Yes, city name:

Primary business activity:

NAICS Code:

Business phone number:

Business rents or leases motor vehicles Leases are more than 28 days

No Yes, number of sleeping rooms:

Sell new tires and/or vehicles with new tires Monthly tire tax estimate:

No Yes, satellite location details:

Public water supplier making retail sales of water No

No Yes, retail sales of motor vehicle fuels or special fuels

Part 5 – Sales Tax and Compensating Use Tax

Date retail sales/compensating use began:

Number of business locations in Kansas:

Sales made at fairs, shows, or temporary locations

Ship or deliver merchandise to Kansas customers

Purchase merchandise/equipment outside Kansas for own use

Estimated annual Kansas sales/use tax liability:

Seasonal months of operation:

Perform labor services on commercial buildings or facilities

Sell natural gas, electricity, or heat to residential/agricultural customers

Part 6 – Withholding Tax

Date began making payments subject to Kansas withholding:

Estimated annual Kansas withholding tax:

Payroll service name:

EIN: Phone:

Payroll service address:

No Yes, home health provider/FMS

FMS name: EIN:

Part 7 – Corporate Income Tax or Privilege Tax

Date corporation began doing business in Kansas:

Name used to report federal income/expenses:

EIN: Bank Savings and Loan

Tax year: Calendar Year Fiscal Year End month: Day:

Cooperative Political Subdivision

Part 8 – Liquor Enforcement Tax

Date of first sales of alcoholic liquor:

Type of license: Retail Liquor Store Distributor Microbrewery or Microdistillery

Producer Farm Winery/Outlet Special Order Shipping Farmers Market Sales Permit Other

Selling other goods/services in addition to alcoholic liquor

Part 9 – Liquor Drink Tax

Date of first sales of alcoholic beverages:

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 Electronic Cigarettes

No Yes, retail sales of regular/electronic cigarettes over the counter, by mail, phone, or internet

Email/Web page address:

Regular cigarette wholesaler(s):

Electronic cigarette wholesaler(s):

No Yes, operator of cigarette vending machines

Company/corporation with fuel supply or retailing agreement:

Consumable material tax registration required? Yes

Part 11 – Nonresident Contractor

Total contract amount: $

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

Contract is with:

Phone:

Kansas project location:

City: County: State: Zip Code:

Starting date: Estimated completion date:

Subcontractor name:

Street Address: City: State: ZIP Code:

Subcontractor EIN:

Subcontractor’s portion of contract: $

Part 12 – Ownership Disclosure and Signature Statement

List all owners, partners, corporate officers, and directors. Add additional pages if needed.

Kansas Department of Revenue, PO Box 3506, Topeka KS 66625-3506

Fax: 785-291-3614