Form 637 Questionnaires

Name:	EIN:
Address:	Registration No:
City, State, Zip

“F” QUESTIONNAIRE (Revision 02-01-2006)

Nonprofit educational organization, other than a public school, buying taxable tires, certain heavy vehicles, sport fishing equipment (including fishing rods and fishing poles), fishing tackle boxes, bows, quivers, broadheads, points or arrow shafts for its exclusive use.

Review Form 637, "Application for Registration" for any updates or changes. This includes Part I, II, and III. Attach the updates or changes to questionnaire. Notate if no updates or changes have been made since last visitation.

1. Who is responsible for the preparation and filing of Form 720 and/or Form 8849? From what address are they filed? _______________________________________________________________________________________________________________________________________________________________________________________________________________

2. Does the organization, related company, or any of its board members incur any liability for excise tax? If so, explain and name the type of tax. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Has the State or IRS examined the non-profit organization during the previous five years? If so, what were the results of the examination?

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4. Provide a general description of the type of educational facility, including faculty, curriculum, and student body. Include brochures, if available. Also provide a copy of your tax-exempt determination letter.

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5. Describe how the products will be used in the operation of the organization.

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6. List activities (other than educational) conducted by the organization.

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7. Will you store any motor fuel? If so, provide the location, capacity, and type of fuel stored in all tanks.

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8. List all vehicles that you operate. Provide the year, make, model, type of fuel used, and number and type of tires used by each vehicle.

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9. List the name, and address of your suppliers that sell you federal excise tax free products. List the type of products that purchase from each of these suppliers. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Do you resell any products that you bought tax-free? If so, to whom?

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