Form Ap-143-1 - Texas Motor Vehicle Rental Tax Application Form - 2017 Page 2

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CLEAR FORM
AP-143-2
(Rev.8-11/17)
Texas Motor Vehicle Rental Tax Application
Page 1.
• Please read instructions.
• Type or print.
• Write only in white areas.
1. Legal name of owner
(Sole owner, partnership, corporation or other name)
2. Mailing address
(Street and number, P.O. Box or rural route and box number)
ZIP code
County
City
State
3. If you are a sole owner, enter your home address
if it is different than above.
(Street and number, city, state, ZIP code)
Area code and number
3a. Enter the daytime phone number of the person
primarily responsible for filing tax returns.
2
4. Enter your Social Security Number if you are a sole owner.
5. Enter your Federal Employer Identification (FEI)
1
Number, if any.
3
6. If you are incorporating an existing business,
enter the taxpayer number of the existing business.
7. Enter your taxpayer number for reporting any Texas tax OR your Texas
Vendor Identification Number if you now have or have ever had one.
8. Indicate how your business is owned.
Profi t Corporation (CT, CF)
General Partnership (PB, PI)
Business Trust (TF)
Please submit a copy of the trust
Nonprofi t Corporation (CN, CM)
Professional Association (AP, AF)
Trust (TR)
agreement with this application.
Limited Liability Company (CL, CI)
Business Association (AB, AC)
Real Estate Investment Trust (TH, TI)
Limited Partnership (PL, PF)
Joint Venture (PV, PW)
Joint Stock Company (ST, SF)
Professional Corporation (CP, CU)
Holding Company (HF)
Estate (ES)
Other (explain)
File number
File date
9. If your business is a Texas corporation,
enter the file number and date.
10. If your business is a foreign corporation, enter home state, file number, Texas Certificate of Authority Number and date.
Home state
File number
Texas Cert. of Auth. No.
Texas Cert. of Auth. date
Home state
Identification number
11. If your business is a limited partnership,
enter the home state and identification number
12. List all general partners or principal officers of your business. If you are a sole owner, skip Item 12.
Name (First, middle initial, last)
Social Security Number
Title
Home address (Street and number, city, state, ZIP code)
Phone (Area code and number)
Title
Name (First, middle initial, last)
Social Security Number
Home address (Street and number, city, state, ZIP code)
Phone (Area code and number)
If you purchased an existing business or business assets, complete Items 13-16. If you did not, skip to Item 17.
13. Enter the former owner's trade name. If known, enter the former owner's Texas taxpayer number.
Trade name
Taxpayer number of former owner
14. Enter the former owner's legal name. If known, enter the former owner's address and telephone number.
Legal name of former owner
Phone (Area code and number)
Address of former owner (Street and number, city, state, ZIP code)
15. Check each of the following items you purchased.
Inventory
Corporate stock
Real estate
Equipment
Other assets
16. Enter the purchase price of the business or assets purchased and the date of purchase.
Purchase price
Date of purchase
$

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