Nexus Questionnaire Form - Alabama Department Of Revenue
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5Alabama Department of Revenue
50 North Ripley Street, Suite 4131
Montgomery, AL 36132
Attn: Christy Vandevender
Phone: 334-353-8466 Fax: 334-353-9019
Christy.Vandevender@Revenue.Alabama.Gov
Nexus Questionnaire
Company Name:_
_
_______________________________
1.
Is the business currently filing with Alabama?
Yes
No
If so, which tax types?
Sales_____ Use_____ Corporate Income_____ Withholding_____ Other_____
2.
Does the business have an office, agency, warehouse or other business location(s) owned or leased in
Alabama?
Yes
No
If so, please complete the following questions for each establishment (use additional sheets if necessary):
a. Location: ______________________________________________________________________
b. Approximate beginning date of operations (and ending date, if applicable): ____________________
c. Nature of the business activity: ______________________________________________________
d. Telephone number listed in a directory in this state: ______________________________________
e. Wats number for use by caller in this state: _____________________________________________
3.
Does the business maintain a telephone answering service in Alabama?
Yes
No
4.
Does the business own or lease real property in Alabama?
Yes
No
5.
Does the business own or lease tangible personal property located or used in Alabama?
Yes
No
a. If so, please complete the following schedule for each year applicable. Include all terms such as
merchandise, inventories, motor vehicles, railroad cars, office equipment, industrial equipment,
buildings and land, etc.
Year
Owned
Type
Rented
Type
____________
$_________________
__________________
$__________________
__________________
____________
$_________________
__________________
$__________________
__________________
____________
$_________________
__________________
$__________________
__________________
Total property everywhere $_____________________ (per most recent year under audit).
b. In what name was the aforementioned property licensed or listed for tax purposes?
_______________________________________________________________________________
6.
Does the business rent or lease tangible personal property located and/or used in Alabama?
Yes
No
If yes, describe the property briefly and state which years it was rented or leased.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
7.
Has the business ever executed contracts in Alabama?
Yes
No
If so, please detail the location, dates and value of contracts.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
8.
Does the business have employees or representatives (such as a broker, manufacturer’s agent, etc.) who
perform the following activities in Alabama: (if the business had employees whose base of operations was in
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