Form 637 Questionnaires

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

Activity Letter K - Buyer of kerosene for a feedstock purpose.

REGISTRATION TESTS – ACTIVITY “K”

1. The activity test of §48.4101-1(f)(2).

2. The acceptable risk test of §48.4101-1(f)(3).

3. The adequate security test of§48.4101-1(f)(4).

ACTIVITY TEST

1. List all products containing kerosene that the entity manufactures.

2. Is kerosene used in any other manner besides the manufacture of the products identified above? If yes, describe.

3. List all locations and storage facilities where kerosene is stored. List the expected annual volume (in gallons) of kerosene to be used at each facility.

Name and Address of Facility(ies)	Tank’s Capacity	Volume

4. List the approximate annual volume of kerosene that the entity purchased or intends to purchase:

5. List the name and address of all current/anticipated suppliers of kerosene and the amount purchased from each supplier annually.

Supplier(s) Name and Address	Gallons Purchased

5. Does the entity have any purchase contracts with the above suppliers? If yes, secure copy of contract(s).

Acceptable Risk Test

1. Has the entity or a related person been penalized for a wrongful act? If so, explain. (For initial registrations, review the applicant’s responses to the questions listed in Part III, Section C, Page 2 of Form 637.)

Explanation:

Adequate Security Test

Complete Form 637 Reengineering Forms: A620, B700,and B705

1. Does the entity have both adequate financial resources and a satisfactory tax history?

A620,B700, & B705

2. Does the entity meet the adequate security test?

A620,B700, & B705

	Form 637 Activity Letter “K” Questionnaire
	Workpaper # -1.0
	Rev. 3/2008