
10A100(P)(4-25) Page 5
Yes No
A. Sewer services
B. Water utilities
C. Natural, articial, or mixed gas utilities
D. Electricity
Yes No
E. Communications services
F. Multichannel video programming services *(see instructions)
G. Video streaming services *(see instructions)
H. Direct broadcast satellite services *(see instructions)
If you answered Yes to any of questions 23 through 45 E, you must complete SECTION E.
If you answered Yes to any of questions 44 or 45 B through 45 G, you must complete SECTION F.
If you answered Yes to any of questions 45 E through 45 H, you must complete SECTION G.
Transient Room Tax Account
41. Will you rent temporary lodging (less than 30 continuous days) to others? .....................................................................................................
Examples: hotel, motel, inn, campground, or RV park (See instructions for more.)
If you rent solely through a 3rd party DO NOT check Yes to this question.
Motor Vehicle Tire Fee Account
42. Will you sell new tires for motor vehicles or semi-trailers? ...............................................................................................................................
Commercial Mobile Radio Service (CMRS) Prepaid Service Charge Account
43. Will you sell cellular phones with preloaded minutes, prepaid cellular phone cards, or recharge cellular phones and cards
with minutes? ...................................................................................................................................................................................................
Utility Gross Receipts License Tax Account and/or Telecommunications Tax Account
44. Were you approved for an Energy Direct Pay Authorization with a Utility Gross Receipts License Tax Exemption? ......................................
Attach a copy of your ocial UGRLT Exemption Authorization.
45. Will you sell any of the following?
Yes No
46a. Will your company purchase any of the utility types listed above in question 45 B through G from
a provider outside of Kentucky? .......................................................................................................................................................................
46b. If yes, please list the provider’s name and utility type: _____________________________________________________________________
CONTINUE
Yes No
28. Will you sell extended warranties? ...................................................................................................................................................................
29. Will you rent or lease tangible or digital property to others, including related companies? ..............................................................................
30. Will you charge admissions, including initiation fees, monthly fees or membership fees for the use of a facility or participating
in an event or activity? (Non-prot organizations selling admissions other than golf admissions, check NO. (See instructions
for additional information.) ............................................................................................................................................................................
31. Are you a remote retailer selling tangible personal property or digital property delivered or transferred electronically to a
purchaser in Kentucky? (See instructions for additional information.) .......................................................................................................
32. Are you a manufacturer’s agent soliciting orders for a nonresident seller not registered in Kentucky? ...........................................................
33a. Are you a marketplace provider or retailer? (See instructions for additional information.) ........................................................................
33b. Do you facilitate sales by third party retailers? (See KRS 139.450. A marketplace provider may register for two Kentucky sales
tax account numbers. See instructions for additional information.) ...........................................................................................................
33c. Are you applying for separate accounts for your own sales and for your facilitated sales? (See instructions for additional
information.) ...................................................................................................................................................................................................
34. Are you a manufacturing fee processor or a contract miner operating in Kentucky? .......................................................................................
35. Are you bidding on a contract with Kentucky state government? .....................................................................................................................
36. Are you an aliate of a company who has been awarded a Kentucky state government contract? ...............................................................
37. Will you operate an electric vehicle charging station? ......................................................................................................................................
Sales and Use Tax Account Schedules
38. Will you receive receipts from the breeding of a stallion to a mare in Kentucky? ............................................................................................
39. Will you make sales of aviation jet fuel? ...........................................................................................................................................................
40a. Will you make sales of motor vehicles to residents of Arizona, California, Florida, Indiana, Massachusetts, Michigan, South
Carolina, or Washington? .................................................................................................................................................................................
40b. Will you make sales of recreational vehicles to customers that are residents of Arizona, California, Florida, Hawaii, Massachusetts,
Michigan, North Carolina, South Carolina, and Wisconsin? .............................................................................................................................