Form ST101, Business Activity Questionnaire
This questionnaire helps the Minnesota Department of Revenue determine if you are required to register for and remit sales and use tax in
Minnesota. After we review your questionnaire, we will send you a letter with our decision.

Business Information
Legal Name                                               Doing Business As (DBA)           Federal Employer Identification Number (FEIN)

Address                                                  City                              State          ZIP Code

Web Address                                                                                Email Address

Describe your business activity:

Have you made or facilitated sales into Minnesota?
 Yes         No
In the last three years, how many sales have you made or facilitated into Minnesota and what were your total sales?
From (Month/Year)                To (Month/Year)                       Number of Sales                    Total Sales (Dollar Amount)

Do any of the following apply to your business? Check all that apply:
 Facilitates the sale of taxable goods or services to customers in Minnesota on behalf of a business
 Sells products to customers in Minnesota, using the internet, mail order, or telephone, without having physical presence in Minnesota 
 Owns property or maintains a physical location in Minnesota (office, warehouse, or distribution, sales, or sample room)
 Has an employee, representative, agent, or independent contractor working on your behalf in Minnesota
 Provides services in Minnesota
 Delivers items into Minnesota in its own vehicles
 Has displays at conventions or trade shows in Minnesota
 Keeps inventory in a fulfillment center in Minnesota
 Is an affiliate of a Minnesota retailer that promotes or provides other services to you and your business and the retailer are related parties
 Has an agreement to pay a commission or similar consideration to a Minnesota resident who directly or indirectly refers potential buyers to 
 your business through website links or otherwise 
Contact Information
Person(s) to Contact Regarding Information on this Questionnaire Title                              Phone

Address                                                          City                               State          ZIP Code

Control number from correspondence letter (if applicable)

Attach additional information necessary to explain the business operations in Minnesota and send electronically or mail the completed form to:
Minnesota Department of Revenue 
Mail Station 6330
600 N. Robert Street
St. Paul, MN 55146-6330
Email: salesuse.nexus@state.mn.us
Phone: 651-296-6181

Rev. 5/21