Form Ap-178-2 - Texas Application For International Fuel Tax Agreement (Ifta) License (2013)

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Texas Application for International
Fuel Tax Agreement License
GENERAL INFORMATION
WHO MUST SUBMIT THIS APPLICATION - Any Texas based entity operating qualifi ed motor vehicle(s) in two or more International Fuel
Tax Agreement (IFTA) jurisdictions may obtain a Texas IFTA license in lieu of obtaining trip permits to satisfy their motor fuels tax
obligations to other jurisdictions. To be issued a Texas IFTA license, Texas must be your base jurisdiction.
FOR ASSISTANCE - If you have any questions about this application, fi ling tax returns or any other tax-related matter, contact the Texas State
Comptroller's offi ce at (800) 252-1383 or (512) 463-4600.
GENERAL INSTRUCTIONS -
• Write only in white areas.
• Please do not separate pages.
• Do not use dashes when entering Social Security, Federal Employer Identifi cation (FEI), Texas Taxpayer, or Texas Vendor
Identifi cation numbers.
• Complete this application and mail to:
COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th St.
Austin, TX 78774-0100
FEDERAL PRIVACY ACT - Disclosure of your social security number is required and authorized under law, for the purpose of tax administration
and identifi cation of any individual affected by applicable law. 42 U.S.C. §405(c)(2)(C)(i); Tex. Govt. Code §§403.011 and 403.078. Release of infor-
mation 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.
You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we have on fi le about you.
Contact us at the address or phone number listed on this form.
SPECIFIC INSTRUCTIONS
Item 1 - SOLE OWNER: Enter the fi rst name, middle initial and last name.
Item 23 - DO NOT complete this application if you have a written lease
PARTNERSHIP: Enter the legal name of the partnership.
agreement in your fi les that clearly states the lessor is responsible for
CORPORATION, LIMITED LIABILITY COMPANY, ASSOCIATION:
fi ling your Texas IFTA reports.
Enter the legal name exactly as it is registered with the Secretary of
If the lease agreement does not clearly state who is responsible for fi ling
State.
Texas IFTA reports, the reporting responsibility defaults to the owner of
OTHER LEGAL ENTITY: Enter the title of the organization.
the vehicle (lessor).
Item 2 - Enter complete mailing address where you wish to receive mail
Item 30 - Check the appropriate block(s). You must identify each
from the Comptroller of Public Accounts. If you wish to receive mail at a
fuel type used.
different address for other taxes, attach a letter with other addresses.
Item 31 - Check each jurisdiction in which you operate a qualifi ed motor
Item 4 - Enter the nine-digit FEI number assigned to your entity by the
vehicle.
Internal Revenue Service.
Item 7 - If you have a Texas Taxpayer Number for reporting another type
DEFINITIONS:
of tax, enter that number. (Use only the fi rst 11 digits of this number.)
Qualifi ed Motor Vehicle means a vehicle registered in Texas –
• with two axles and registered gross vehicle weight (GVW) exceeding
Item 8 - OWNERSHIP: Check the appropriate box by the type of or-
26,000 pounds; or
ganization.
• having three or more axles; or
Item 9 - TEXAS ENTITY: Enter the fi le number assigned by the Secretary
• used in combination when the registered GVW exceeds 26,000
of State and the fi le date.
pounds.
Item 10 - FOREIGN ENTITY (chartered outside of Texas): Enter the state
Qualifi ed Motor Vehicle does not include recreational vehicles.
in which the business is incorporated, the fi le number AND the Texas
Recreational Vehicle means vehicles such as motor homes, pickup
Certifi cate of Authority Number and date.
trucks with attached campers, and buses when used exclusively for
Item 11 - LIMITED PARTNERSHIP: Enter the state in which the partner-
personal pleasure by individuals. The vehicle may not be used in con-
ship is registered and the identifi cation number.
nection with any business endeavor.
Item 12 - PARTNERSHIP: Enter information for all partners. If a partner
Registration means the qualifi cation of motor vehicles normally as-
is a corporation, enter the FEI number of the corporation.
sociated with a prepayment of license plate and registration card or
CORPORATION or OTHER ORGANIZATION: Enter the information
temporary registration containing owner and vehicle data.
for the principal offi cers (president, vice-president, secretary).
Base Jurisdiction means the jurisdiction where qualifi ed motor vehicles
Item 19 - Enter the actual physical address of your business. DO NOT
are based for vehicle registration purposes and where the operational
use P.O. Box or rural route number. If more than one location, attach
control and records of the qualifi ed motor vehicles are maintained or
a separate sheet.
can be made available.
AP-178-1 (Rev.8-11/13)

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