Form Ap-114-Business Tax Questionnaire
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2AP-114
(Rev.5-99/12)
BUSINESS TAX QUESTIONNAIRE
INTERNAL USE ONLY
1. Legal name
Mailing address
(include the ZIP plus)
Job type:
MISCAPP
Batch type:
3-40F
TCode
00990
2. Business name and address
(if different from Item 1)
Taxpayer no.
Tax type and reason code
3. Federal E.I. number
Texas tax permit number(s)
(Issued by the Texas Comptroller of Public Accounts - Sales, Use, Fuels, Other)
4. Type of business
(If "B": is checked attach a list of LLC's which are members of the Limited Liability Company) (If "C" "D" or "E" is checked, skip to Item 7)
A. Corporation
B. Limited Liability Company
C. Sole Proprietorship
D. Partnership
E. Other
5. State of incorporation
5A. Date of incorporation
5B. Has the corporation been involved in a merger within the last seven years? Attach a detailed explanation.
Answer the questions below that pertain to the last seven years.
6. Do you have a Corporation Charter or Certificate of Authority to do business in
If "YES," give charter or certificate number and date issued.
Texas issued by the Texas Secretary of State?
YES
NO
7. Type of business engaged in
(Check as many as applicable)
MANUFACTURING
SERVICES
TRUCKING
LOAN PRODUCTION
WHOLESALE
MANAGEMENT OR
FRANCHISING
INSURANCE COMPANY
HOLDING COMPANY
RETAIL
BANKING
OTHER ___________________________
MINING/MINERALS
CONSTRUCTION
LEASING
8. Company's normal accounting period ending date
9. Type of product or service
9A.
First date
service was provided in Texas or products shipped into Texas?
9B. SIC code
9C.
Estimated
annual volume of business
(last fiscal or calendar year)
9D.
Estimated
annual receipts in Texas
(last fiscal or calendar year)
$
$
10. Check the items you have located in Texas:
A. MANUFACTURING PLANT
E. REAL PROPERTY
I. SPACE IN DEPT. OR CHAIN STORE
B. OFFICE
(e.g., district)
F. PERSONAL PROPERTY
J. TERMINAL FACILITY
C. WAREHOUSE
(owned or leased)
G. STOCK OF GOODS, INVENTORY
K. EMPLOYEES
D. RETAIL OUTLET
H. LEASED PROPERTY
L. INDEPENDENT REPRESENTATIVES
For items checked, specify location, and
first date
(month, day, year)
. If location is closed, please indicate
(month, date, year)
.
11. Number of employees, agents, brokers, independent contractors, or other representatives in Texas?_____________________________
12. Does your business solicit orders in Texas? If yes, indicate
first date
in Texas and explain.
YES
NO
13. Do your employees, agents, brokers, independent contractors or other representatives install, assemble or service products sold to Texas customers?
YES
NO
If yes, indicate
first date
in Texas and explain.
14. Does your business perform contracts in Texas? If yes, indicate
first date
in Texas and explain.
YES
NO
15. Does your business perform any services in Texas
(through either employees or agents)
? If yes, indicate
first date
in Texas and explain.
YES
NO
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