Texas Rental Application
Texas Rental Application
Texas Rental Application
If you are a sole proprietor, start on the next page, Item 10.
2. Legal name of corporation, partnership, limited liability company, association or other legal entity
ENTITY INFORMATION
9. List all general partners, officers or managing members (Attach additional sheets, if necessary.)
Name Phone (Area code and number)
Page 2
*
You have certain rights under Chapters 552 and 559, Government Code,
to review, request and correct information we have on file about you.
• TYPE OR PRINT • Do NOT write in shaded areas. Contact us at the address or numbers listed on this form.
12. List any current or past 11-digit Texas Taxpayer Number for reporting
any taxes or fees to the Texas Comptroller of Public Accounts. ...........................................................................
14. Federal Employer Identification Number (FEIN), if you have one, assigned by
the Internal Revenue Service for reporting federal income taxes. .............................................................................
Street number and name, P.O. Box or rural route and box number Suite/Apt. #
City State/province ZIP code County (or country, if outside the U.S.)
Street address (if different from the address in Item 15) Phone number (Area code, number and extension)
Street address (if different from the address in Item 15) Phone number (Area code, number and extension)
22. Name of bank or other financial institution (Attach additional sheets, if necessary.)
Business Personal
23. If you will be accepting payments by credit card and/or through Merchant identification number (MID)
an online payment processing company, enter the name of the processor. assigned by processor
AP-201-3
(Rev.8-19/22)
Texas Application for
*AP20130F081922*
*AP20130F081922*
Sales Tax Permit and/or Use Tax Permit * A P 2 0 1 3 0 F 0 8 1 9 2 2
Page 3
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Complete all information in this section for each PLACE OF BUSINESS in Texas.
If you do not have a physical PLACE OF BUSINESS in Texas, skip to Item 29.
24. PLACE OF BUSINESS name and address - This address is for the physical location operated for the purpose of taking orders for taxable items
(tangible personal property or taxable services). (Attach additional sheets for each PLACE OF BUSINESS in Texas.)
Business name (DBA)
Street address (include St, Av, Ct, etc.) or rural route and box number (Do NOT use P.O. Box address--must provide physical location address.) Suite/Apt. number
T X
If this PLACE OF BUSINESS address is difficult to find or includes a rural route and box number, provide the physical location or directions.
27. Is this PLACE OF BUSINESS operated from your home? .......................................................................................................... YES NO
28. Enter the name and address of the owner or landlord of this PLACE OF BUSINESS.
PLACE OF BUSINESS INFORMATION
29. Do you maintain a distribution center, warehouse, office or any other physical location where business is
conducted in Texas? ..................................................................................................................................................................... YES NO
If "YES", list location of all distribution points, warehouses or offices in Texas. (Do not include locations that are considered a PLACE OF
BUSINESS.) (Attach additional sheets, if necessary.)
Street City State ZIP code
T X
T X
30. Do you have any representative, agent, salesperson, canvasser or solicitor who operates under your authority to conduct business in Texas,
including selling, delivering or taking orders for taxable items? ................................................................................................... YES NO
If "YES", list names and addresses of all representatives, agents, salespersons, canvassers or solicitors in Texas.
(Attach additional sheets, if necessary)
Name (first, middle initial, last)
T X
31. Do you derive receipts from the sale, lease or rental of tangible personal property situated in Texas? ....................................... YES NO
32. Do you provide onsite taxable services at customer locations in Texas? ..................................................................................... YES NO
33. Do you sell at temporary locations (fairs, trade shows, etc.) in Texas? ....................................................................................... YES NO
If "YES", list the locations or event names and when you will be at location or event. (Attach additional sheets, if necessary)
Location and/or event name (e.g., Canton First Mondays, State Fair in Dallas, etc.) Period in attendance (e.g., first weekend of each month, late October, etc.)
34. Do you have a franchisee or licensee operating under your name who is required to collect sales and use taxes in Texas? ..... YES NO
35. Do you have a substantial ownership in, or are owned in whole or substantial part, by a person who has a business location in Texas and
sells the same or similar line of products under a business name that is similar to your business name? .................................. YES NO
36. Do you have a substantial ownership in, or are owned in whole or substantial part, by a person who maintains a location in Texas to
advertise, promote or facilitate sales, deliveries or returns of your products? .............................................................................. YES NO
AP-201-4
(Rev.8-19/22)
Texas Application for
*AP20140F081922*
*AP20140F081922*
Sales Tax Permit and/or Use Tax Permit
* A P 2 0 1 4 0 F 0 8 1 9 2 2 *
Page 4
Legal name (Same as Item 2 OR Item 10)
39. Will your anticipated monthly taxable sales exceed $8,000 per month? ...................................................................................... YES NO
41. Is this permit for a winery located outside of Texas that will ship wine to consumers in Texas? ................................................ YES NO
If "YES," you must obtain an Out-of-State Winery Direct Shipper's Permit from the Texas Alcoholic Beverage Commission. (See instructions.)
NAICS code
48. Enter your North American Industry Classification System (NAICS) code. (See specific instructions.) .......................................
If you don't know your NAICS code, indicate your principal type of business.
Agriculture Transportation Retail Trade Real Estate Direct Sales / Marketing
Mining Finance Services Communications (See Item 38.)
Construction Utilities Insurance Public Administration
Manufacturing Wholesale Trade Health Spa Other (explain)
Primary business activity and type of products or services to be sold.
49. Will you be required to report interest earned on sales tax? (See specific instructions.) ............................................................. YES NO
50. Will you sell, lease or rent off-road, heavy-duty (50 horsepower or more) diesel-powered equipment? ................................... YES NO
If you purchased an existing business or business assets, complete Item 53; if not, skip to Item 54. Previous owner’s Texas taxpayer
53. Previous owner's trade name (DBA name) number (if available)
PREVIOUS OWNER
Check each of the following items you purchased. Inventory Corporate stock Equipment Real estate Other assets
Purchase price of this business or assets and the date of purchase Month Day Year
Page 5
Legal name (Same as Item 2 OR Item 10)
APPLICANTS MUST BE AT LEAST 18 YEARS OLD. Parents or legal guardians can obtain a sales tax permit on behalf of a minor.
Date of signature(s)
54. The sole owner, ALL general partners, managing members, officers, directors or an authorized representative Month Day Year
must sign. The representative must submit a written power of attorney. (Attach additional sheets, if necessary.)
I (We) declare that the information in this document and any attachments is true and correct to the best of my (our) knowledge and belief.
Type or print name and title of sole owner, partner, officer, director or member
Sole owner, partner, officer, director or member
WARNING. You may be required to obtain an additional permit or license from the State of Texas or from a local governmental entity to
conduct business. A listing of links relating to acquiring licenses, permits, and registrations from the State of Texas is available online
at http://www.Texas.gov. You may also want to contact the municipality and county in which you will conduct business to determine
any local governmental requirements.
FEDERAL PRIVACY ACT — Disclosure of your social security number is required and authorized under law, for the purpose of tax administration and identification of any idividual affected by applicable
law, 42 U.S.C. §405(c)(2)(C)(i); Tex. Govt. Code §§403.011 and 403.078. Release of information on this form in response to a public information request will be governed by the Public Information Act,
Chapter 552, Government Code, and applicable federal law.