Annual Services Inquiry 2019 - Form B
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The form should take approximately 30 minutes to complete
Questionnaire Instructions
Before you begin, you will need...
Your CSO reference number
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Please read the help before completing this survey
Enter your CSO reference number e.g. EN12345678

1. Description of Business
(b) Location of ownership:



Ireland
Elsewhere
(specify)
(c) Is this a family business?

Yes

No
State the % of turnover generated by it


(a) Describe the primary activity of the business, in as much detail as possible

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(ultimate beneficial owner)



3.  Indicate the currency used for this return




US Dollar $
UK Sterling £
Euro €
From
To





2. Year covered by details provided
(should cover 12 months and contain at least 6 months of 2019)
%
Please do not use the same accounting year for 2 consecutive ASI surveys.

(a) Turnover from Trading activities of Purchase
(b) Turnover from Services activities
(c) Turnover from Agriculture, Manufacturing, Fishing and Industrial activities
Wholesale
Retail
Total Turnover (sum of (a) + (b) + (c)  above)




4. Turnover
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and Resale
(d) VAT charged on total turnover
(e)  VRT charged on sale of vehicles (if applicable)


(f)  What % of the total turnover results from orders submitted

%
5. Cost of Sales

Total value


End of year
of which for direct resale

6. Stocks

Beginning of year


7. Operating expenses

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(a)  Payments to employment agencies for the provision of personnel
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(b)  Fuel and energy

(c)  Sales and marketing

(d)  Insurance costs (include premiums paid on vehicles and premises)

(e)  Commercial rent

(f)   R&D services supplied to the enterprise (exclude capitalised items)

(g)  Royalties, (e.g. on technical know-how, copyright and patents)

(h)  Management fees (including contributions to corporate overhead)
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using e-mail, EDI or internet?


(i)  Purchases of business services

(j)  Other expenses not listed above
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Total operating expenses (sum of (a) to (j)  above)

8. Depreciation/Amortisation (as in accounts)

9. Personnel costs
(a) Wages and salaries
(b) Social security costs

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Superannuation
Contributions
Employers PRSI
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(c) Do persons employed engage in any Research and Development?

Yes

No
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10. Number of persons engaged in the enterprise (week ending 11th September 2019)
(a) Proprietors, partners and family members (not paid a regular wage/salary)
(b) Full-time employees (usually working more than 30 hours a week)


(c) Part-time employees (excluding agency workers)

11. Changes in fixed capital assets during the year

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Investment in Tangible Fixed Assets

(a) Land

(b) Acquisitions of existing buildings and structures

(c) Construction and alteration of buildings

(d) Transport equipment

(e) Radio, TV and communication equipment

(f) Office machinery and hardware (including computer hardware)

(g) Other machinery and equipment

(h) Other tangible assets

(own staff only, include bonuses and redundancy payments)
Investment in Intangible Assets

(i)   Capitalised R&D

(j) Computer software (exclude own account)

(k) Patents and licences for intellectual property

(l) Other intangible assets

Total value of assets acquired during the year

Total value of assets disposed of during the year

12. Total subsidies received by the enterprise

13. Indirect taxes paid by the enterprise

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14. Please state the number of local units operated and persons engaged in the following regions
(Number of persons engaged should equal the sum of (a) + (b) + (c) in Q.10 above)
(a) Dublin ( Dublin city and county )
(b) Border ( Co. Cavan, Donegal, Leitrim, Monaghan, Sligo )
(c) Mid-East ( Co. Kildare, Louth, Meath, Wicklow )
(d) Midland ( Co. Laois, Longford, Offaly, Westmeath )
(e) Mid-West ( Co. Clare, Limerick, Tipperary )
(f) South-East ( Co. Carlow, Kilkenny, Waterford, Wexford )
(g) South-West ( Co. Cork, Kerry )
(h) West ( Co. Galway, Mayo, Roscommon )
















No. of units
No. of persons
engaged
Total number in the state


sum of (a) to (l) above)
(sum of (a) to (h)  above)
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15. Trade
(a)   Total Exports


of which Exports of services
(b)   State the % (best estimate) of Total Exports
provided in 15(a) by destination

%

%

%

%
GB
NI
Rest of EU
Elsewhere
(c)   Total Imports


of which Imports of services
(d)   State the % (best estimate) of Total Imports
provided in 15(c) by origin

%

%

%

%
GB
NI
Rest of EU
Elsewhere
16.  Balance sheet data

The following information should be taken from your enterprises balance sheet or trial balance as of the

(a) Total outstanding debt liabilities

of which borrowed from banks

(b) Interest payable

(c) Cash and cash equivalents

(d) Accounts receivable

(e) Accounts payable

(f) Total assets

(g) Total fixed assets

accounting year 2019. Please give the value of your enterprises':

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To avoid queries please list any major changes to turnover, cost of sales, staff etc. since last year.
Comments and feedback
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Additional Information & Declaration
How many minutes did it take to complete the form?

E-mail :
Name :
Position :

Phone :
Declaration

Return completed by :





Eircode:
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(Routing Key)
(Unique Identifier)
(Enterprises)
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