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PRE-CONSULTATION VISIT QUESTIONNAIRE
                                            Please respond to the following items in black or blue ink



Tax Registration Number:                     -         -                                         Date:        /     /


 1.   Describe your business activity, including various sources of income:




 2.   Do you receive miscellaneous income (i.e., commissions, interest,                                      Yes        No
      royalties, rents)?
 3.   Do you bill customers for freight/shipping charges?...............................                     Yes        No
 4.   Do you separately bill customers for reimbursement of expenses?...........                             Yes        No
 5.   Do you exchange goods/services for other goods/services? ....................                          Yes        No
 6.   Do you collect retail sales tax? ...........................................................           Yes        No
 7.   Have you sold business assets (i.e., equipment, furniture, fixtures)? .......                          Yes        No
 8.   Do you offer cash/trade discounts or other allowances? .........................                       Yes        No
 9.   Do you make sales or provide services to customers outside Washington?.                                Yes        No
10.   Do you make in-state sales or provide services to:
         a. Non-residents? ........................................................................          Yes        No
         b. Native Americans?.....................................................................           Yes        No
         c. Government agencies?...............................................................              Yes        No
11.   Do you have uncollectible sales/bad debts?..........................................                   Yes        No
12.   Do you issue or accept exemption certificates for:
         a. Resale?....................................................................................      Yes        No
         b. Manufacturer’s Machinery & Equipment? ......................................                     Yes        No
         c. Tax Deferrals? .........................................................................         Yes        No
         d. Others? Describe:                                                                                Yes        No
13.   Are there other specific issues or questions you would like to discuss
      during the consultation visit? (If yes, please share your comments below.)                             Yes        No




Business Name:                                                       Contact Person
                                                                     Best time for us
Telephone Number:            (          )                            to contact you:




For tax assistance, visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this
document in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY)
users may call 1-800-451-7985.
                                                                                                 (Please see next page)
REV 31 1454 (2/26/08)
Please fax, mail, or deliver to the Field Office nearest you or
                   fax to Audit Standards & Procedures at (360) 586-5886.


                                      Department of Revenue
                                       Field Office Locations
 BELLINGHAM (360) 676-2114            RICHLAND (509) 734-7526             TUMWATER (360) 725-7515
 Mon-Fri 8am-11:30am, 12:30pm-5pm     Mon-Fri 8am-11:30am, 12:30pm-5pm    Mon-Fri 8am-5pm
 Fax: (360) 676-2124                  Fax: (509) 734-7535                 Fax: (360) 586-7603
 Delivery Address:                    Delivery Address:                   Delivery Address:
 1904 Humboldt Street, Suite A        1657 Fowler Street                  6500 Linderson Way SW, Suite 101
 Mailing Address:                     Mailing Address:                    Mailing Address:
 Post Office Box 1176 98227-1176      Post Office Box 140 99352           Post Office Box 47478 98504-7478
 EVERETT (425) 356-4800               SEATTLE (206) 956-3000              VANCOUVER (360) 256-2060
 Mon-Fri 8am-5pm                      Mon-Fri 8am-5pm                     Mon-Fri 8am-5pm
 Fax: (425) 356-4840                  Fax: (206) 956-3037                 Fax: (360) 256-2070
 Delivery & Mailing Address:          Delivery & Mailing Address:         Delivery Address:
                                      2101 4th Avenue, Suite 1400         8008 NE 4th Plain Blvd, Suite 320
 9930 Evergreen Way, Suite Y-150
 98204-3893                           98121-2300                          Mailing Address:
                                                                          Post Office Box 1648 98668-1648
 KENT (253) 437-3440                  SPOKANE (509) 327-0200
 Mon-Fri 8am-5pm                      Mon-Fri 8am-5pm
                                                                          WENATCHEE (509) 663-9714
 Fax: (253) 437-3491                  Fax: (509) 327-022
                                                                          Mon-Fri 8am-11:30am, 12:30pm-5pm
 Delivery & Mailing Address:          Delivery & Mailing Address:
                                                                          Fax: (509) 664-1243
 20819 72nd Avenue South, Suite 680   1330 North Washington, Suite 5600
                                                                          Delivery Address:
 98032                                99201-2456
                                                                          630 North Chelan Avenue, Suite B3
                                                                          Mailing Address:
 PORT ANGELES (360) 417-9900          TACOMA (253) 382-2000
                                                                          Post Office Box 220 98807-0220
 Mon, Wed, & Fri 8am-11:30am,         Mon-Fri 8am-5pm
 12:30pm-5pm; Closed Tues & Thurs     Fax: (253) 382-2011
                                                                          YAKIMA (509) 454-5160
 Fax: (360) 417-9915                  Delivery Address:
                                                                          Mon-Fri 8am-11:30am, 12:30pm-5pm
                                      3315 South 23rd Street, Suite 300
 Delivery Address:
                                                                          Fax: (509) 454-5170
 734 East First Street, Suite B       Mailing Address:
                                                                          Delivery & Mailing Address:
 Mailing Address:                     Post Office Box 111180 98411-1180
                                                                          3703 River Road, Suite 3
 Post Office Box 400 98362-0064
                                                                          98902-7325




REV 31 1454 (2/26/08)

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PreConsultationVisitQuest

  • 1. PRE-CONSULTATION VISIT QUESTIONNAIRE Please respond to the following items in black or blue ink Tax Registration Number: - - Date: / / 1. Describe your business activity, including various sources of income: 2. Do you receive miscellaneous income (i.e., commissions, interest, Yes No royalties, rents)? 3. Do you bill customers for freight/shipping charges?............................... Yes No 4. Do you separately bill customers for reimbursement of expenses?........... Yes No 5. Do you exchange goods/services for other goods/services? .................... Yes No 6. Do you collect retail sales tax? ........................................................... Yes No 7. Have you sold business assets (i.e., equipment, furniture, fixtures)? ....... Yes No 8. Do you offer cash/trade discounts or other allowances? ......................... Yes No 9. Do you make sales or provide services to customers outside Washington?. Yes No 10. Do you make in-state sales or provide services to: a. Non-residents? ........................................................................ Yes No b. Native Americans?..................................................................... Yes No c. Government agencies?............................................................... Yes No 11. Do you have uncollectible sales/bad debts?.......................................... Yes No 12. Do you issue or accept exemption certificates for: a. Resale?.................................................................................... Yes No b. Manufacturer’s Machinery & Equipment? ...................................... Yes No c. Tax Deferrals? ......................................................................... Yes No d. Others? Describe: Yes No 13. Are there other specific issues or questions you would like to discuss during the consultation visit? (If yes, please share your comments below.) Yes No Business Name: Contact Person Best time for us Telephone Number: ( ) to contact you: For tax assistance, visit http://dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985. (Please see next page) REV 31 1454 (2/26/08)
  • 2. Please fax, mail, or deliver to the Field Office nearest you or fax to Audit Standards & Procedures at (360) 586-5886. Department of Revenue Field Office Locations BELLINGHAM (360) 676-2114 RICHLAND (509) 734-7526 TUMWATER (360) 725-7515 Mon-Fri 8am-11:30am, 12:30pm-5pm Mon-Fri 8am-11:30am, 12:30pm-5pm Mon-Fri 8am-5pm Fax: (360) 676-2124 Fax: (509) 734-7535 Fax: (360) 586-7603 Delivery Address: Delivery Address: Delivery Address: 1904 Humboldt Street, Suite A 1657 Fowler Street 6500 Linderson Way SW, Suite 101 Mailing Address: Mailing Address: Mailing Address: Post Office Box 1176 98227-1176 Post Office Box 140 99352 Post Office Box 47478 98504-7478 EVERETT (425) 356-4800 SEATTLE (206) 956-3000 VANCOUVER (360) 256-2060 Mon-Fri 8am-5pm Mon-Fri 8am-5pm Mon-Fri 8am-5pm Fax: (425) 356-4840 Fax: (206) 956-3037 Fax: (360) 256-2070 Delivery & Mailing Address: Delivery & Mailing Address: Delivery Address: 2101 4th Avenue, Suite 1400 8008 NE 4th Plain Blvd, Suite 320 9930 Evergreen Way, Suite Y-150 98204-3893 98121-2300 Mailing Address: Post Office Box 1648 98668-1648 KENT (253) 437-3440 SPOKANE (509) 327-0200 Mon-Fri 8am-5pm Mon-Fri 8am-5pm WENATCHEE (509) 663-9714 Fax: (253) 437-3491 Fax: (509) 327-022 Mon-Fri 8am-11:30am, 12:30pm-5pm Delivery & Mailing Address: Delivery & Mailing Address: Fax: (509) 664-1243 20819 72nd Avenue South, Suite 680 1330 North Washington, Suite 5600 Delivery Address: 98032 99201-2456 630 North Chelan Avenue, Suite B3 Mailing Address: PORT ANGELES (360) 417-9900 TACOMA (253) 382-2000 Post Office Box 220 98807-0220 Mon, Wed, & Fri 8am-11:30am, Mon-Fri 8am-5pm 12:30pm-5pm; Closed Tues & Thurs Fax: (253) 382-2011 YAKIMA (509) 454-5160 Fax: (360) 417-9915 Delivery Address: Mon-Fri 8am-11:30am, 12:30pm-5pm 3315 South 23rd Street, Suite 300 Delivery Address: Fax: (509) 454-5170 734 East First Street, Suite B Mailing Address: Delivery & Mailing Address: Mailing Address: Post Office Box 111180 98411-1180 3703 River Road, Suite 3 Post Office Box 400 98362-0064 98902-7325 REV 31 1454 (2/26/08)