Annual Texas Franchise Tax Payment Form

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TEXAS FRANCHISE TAX
05-170
PAYMENT FORM
(9-09/4)
FILING REQUIREMENTS
Tcode
13030
Initial
Taxpayer number
Report year
Due date
Taxpayer name
,
,
,
,
.
1. Total tax due on this report
1.
(Item 34 from Form 05-158-B or Item 17 from Form 05-169)
,
,
,
,
.
2. Enter prior payment
2.
(e.g. extension payment)
,
,
,
,
.
3. Net tax due
3.
(Item 1 minus Item 2)
,
,
,
,
.
4. Penalty
4.
(See instructions)
,
,
,
,
.
5. Interest
5.
(See instructions)
,
,
,
,
.
6. TOTAL AMOUNT DUE AND PAYABLE
6.
(Add Items 3, 4 and 5)
Make amount payable to STATE COMPTROLLER
Taxpayers who paid $10,000 or more during the preceding fiscal year (September 1 thru August 31) are required to electronically
pay their franchise tax. For more information visit:
Mail original to:
COMPTROLLER OF PUBLIC ACCOUNTS
P.O. Box 149348
Austin, TX 78714-9348
If you have any questions regarding franchise tax, you may contact the Texas State Comptroller's field office in your area or call (800) 252-1381 or (512) 463-4600.
For instructions on completing the franchise tax reports, see Form 05-392(2008), Form 05-393(2009) or Form 05-394(2010).
Texas Comptroller Official Use Only
VE/DE
PM Date

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