AP-118-2
(Rev.3-03/10)
TEXAS APPLICATION FOR
Page 1.
MANUFACTURED HOUSING SALES TAX PERMIT
• Please read instructions
• TYPE OR PRINT
• Do not write in shaded areas
For Comptroller's use only
1. Legal name of owner (Sole owner, partnership, corporation or other name)
Master name change
•
01170
F alcon
2. Mailing address (Street & number, P.O. Box or rural route and box number)
0 - S end
•
1 - D o not send
City
State
ZIP Code
County
Master account set up
•
01100
F alcon
3. Enter a daytime phone number
(Area code and number).
Master mailing
address change
01180
F alcon
2
4. Enter your Social Security Number if you are a sole owner.
County code
1
5. Enter your Federal Employer's Identification(FEI) Number, if any,
assigned by the United States Internal Revenue Service.
Ownership type
3
0000
Master phone number
add/change
01185
F alcon
Are you a subsidiary or division of
6.
If "YES," enter
another company?
YES
NO
Secondary mailing
number
address set-up
Do you now have a Taxpayer Number
7.
for reporting any Texas tax OR a
If "YES," enter
02720
F alcon
Texas Vendor Identification Number?
YES
NO
number
Secondary mailing
address change
8. Indicate how your business is owned.
1 - Sole owner
2 - Partnership
3 - Texas corporation
02721
F alcon
6 - Foreign corporation
7 - Limited partnership
4 - Other (explain)
Secondary mailing
address delete
Charter number
Charter date
9. If your business is a Texas corporation,
02722
enter the charter number and date.
F alcon
Tax type
10.
If your business is a foreign corporation, enter home state, charter number, Texas Certificate of Authority number and date.
0
Home state
Charter number
Texas Cert. of Auth. date
Texas Cert. of Auth. No .
County code
Home state
Identification number
Partnership set up
11. If your business is a limited partnership,
enter the home state and identification number.
01140
F alcon
12. Identification of owners: sole owner, all general partners or principal corporation officers.
(Attach additional sheets if necessary.)
Name (First, middle initial, last)
Social Security or Federal Employer's Identification (FEI) no.
Title
OF
NR
•
•
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
Name (First, middle initial, last)
Social Security or Federal Employer's Identification (FEI) no.
Title
•
•
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
Name (First, middle initial, last)
Social Security or Federal Employer's Identification (FEI) no.
Title
•
•
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
Name (First, middle initial, last)
Social Security or Federal Employer's Identification (FEI) no.
Title
•
•
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)