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"K" QUESTIONNAIRE (Revision 02-01-2006)
Buyer of kerosene for a feedstock purpose.
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.
Who is responsible for the preparation and filing of Form 720 and/or Form 8849? From what address are they filed? _______________________________________________________________________________________________________________________________________________________________________________________________________________
Does the company, related company, or any of its owners incur any liability for excise tax? If so, name the type of tax. __________________________________________________________________________________________________________________________________________
Does the company sell or plan to sell any kerosene to a related company? If so, describe the arrangements.
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Has the company's excise, employment, or income tax returns been examined by the State or IRS during the previous five years? If so, what were the results of the examination?
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List all products containing kerosene that your company manufactures.
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Is kerosene used in any other manner beside the manufacture of these products? If so, describe.
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List all locations and storage facilities where kerosene is stored. List the expected volume (in gallons) of kerosene to be used by each facility. Attach additional sheets if needed.
Name of Facility |
Address of Facility |
Capacity of Kerosene Tank(s) |
Expected Annual Volume |
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List name and address of all current and anticipated suppliers of kerosene.
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List approximate annual quantity of kerosene purchased.
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TIN - DATE -
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | "K" QUESTIONNAIRE |
| Author | National Office Excise |
| File Modified | 0000-00-00 |
| File Created | 2021-02-03 |