Business Activities Questionnaire

Do you have a Case ID

Do you have a Case ID NoDo you have a Case ID Yes

Case ID

Business Legal Name

Business Street Address - Line 1

Business Street Address - Line 2

City

State/Province

Postal Code

Country

International Calling Code

Business Telephone Number

Phone Extension

Tax ID Number

Tax ID Type

Tax ID Type Federal Identification Number (FEIN)
Tax ID Type Individual Taxpayer Identification Number (ITIN)
Tax ID Type Social Security Number (SSN)

Business Entity Type

Business Entity Type Corporation
Business Entity Type Limited Liability Company
Business Entity Type Sole-Proprietor
Business Entity Type S-Corporation
Business Entity Type Partnership (Includes all partnership types)
Business Entity Type Other

If Other, Please Specify

How is the entity treated for Federal purposes? (Required if Country selected for business is the United States)

How is the entity treated for Federal purposes? (Required if Country selected for business is the United States) Corporation
How is the entity treated for Federal purposes? (Required if Country selected for business is the United States) Partnership
How is the entity treated for Federal purposes? (Required if Country selected for business is the United States) Sole-Proprietor

What Federal form was filed with the Internal Revenue Service (IRS) in 2019?

What Federal form was filed with the Internal Revenue Service (IRS) in 2019? Corporate Return (1120)
What Federal form was filed with the Internal Revenue Service (IRS) in 2019? Partnership Return (1065)
What Federal form was filed with the Internal Revenue Service (IRS) in 2019? Sole-Proprietor (1040)
What Federal form was filed with the Internal Revenue Service (IRS) in 2019? Other
What Federal form was filed with the Internal Revenue Service (IRS) in 2019? None

If Other, Please Specify

Is the entity already registered with the Pennsylvania (PA) Department of Revenue?

Is the entity already registered with the Pennsylvania (PA) Department of Revenue? NoIs the entity already registered with the Pennsylvania (PA) Department of Revenue? Yes

If Yes, enter the Revenue ID Number

Or, enter an Account ID

As a result of this communication, has the business completed the PA-100?

As a result of this communication, has the business completed the PA-100? Yes, the business has completed the PA-100
As a result of this communication, has the business completed the PA-100? No, a PA-100 was not completed, and is not registered with Revenue.