Form 637 Questionnaires

Applicant/Registrant Name:		EIN:	Period(s)
Agent Name:	Badge Number:			Date:
Form 637 Activity Letter “AF” Questionnaire

Activity Letter “AF” - Producers and importers of alcohol.

REGISTRATION TESTS – ACTIVITY “AF”

1. The applicant must meet the activity test under §48.4101-1(f)(2).

2. The applicant must have a satisfactory filing, deposit, payment, reporting, and claim history for all federal taxes of the applicant and any related person (as defined in §48.4101-1(b)(5)).

ACTIVITY TEST

1. List the name and address of all suppliers of alcohol and the annual amount purchased.

Name and Address of Supplier(s) of Alcohol	Gallons Purchased

2. List the type & proof, monthly gallons, and percentage of alcohol purchased used in the production of gasohol.

Type & Proof of Alcohol	Monthly Gallons Purchased	Percentage used in the Production of Gasohol

3. List the approximate number of gallons produced for each type of gasohol annually.

Type of Gasohol	Annual Gallons Produced
10% Gasohol
7.7% Gasohol
5.7% Gasohol

4. Describe the process used to produce alcohol.

Satisfactory Tax History

1. Have all filings, deposits, and payments for all taxes of the entity and all related persons been made timely? If no, explain.

	Form 637 Activity Letter “AF” QUestionnaire
	Workpaper # -1.0
	Rev. 3/2008