Dealer'S Motor Vehicle Inventory Tax Statement I Confidential
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1Instructions on back of form.
50-246 (Rev. 7-99/7)
MONTH & YEAR
[23.122-Rule 9.4035]
DEALER’S MOTOR VEHICLE INVENTORY TAX STATEMENT / CONFIDENTIAL
Page __________ of pages _________
Send original with payment to: County Tax Office name and address
Phone (area code & number)
Phone (area code & number)
Send copy to: Appraisal District name and address
Owner’s name
Owner’s phone (area code & number)
Step 1:
Step 2:
Give appraisal district account number if available or attach tax bill or copy of
appraisal or tax office correspondence concerning your account. If unavailable,
Owner’s
Information
give the street address at which the property is located.
Current mailing address (number and street)
name and
about the
Name of each business
address
business
City, town or post office, state, ZIP code
Account number
Inventory location (number, street, city, state, ZIP code + 4)
Person completing statement
Title
Type of
Sales
Unit Property
Description of Vehicle Sold
Step 3:
1
2
3
Sale
Price
Tax
Date of
Model
Make
Vehicle
Purchaser’s Name
Provide the
(See back of page for footnotes.)
Sale
Year
Identification Number
following
information
about each
vehicle sold
during the
reporting
month
(continue on
additional
sheets as
needed).
Total for this page only
Your general distinguishing number(s)(GDN)
Total Unit Property Tax
4
this month
Unit property tax factor you used ____________________
_____________________________________
Provide these totals on last page only.
Signature
Date
Breakdown of sales (number of units sold) for this month
sign
Step 5:
Step 4:
here
Net motor vehicle inventory
Fleet Sales
Dealer Sales
Subsequent Sales
Sign and
Total
date the
Sales
If you make a false statement on this application, you could
statement
Breakdown of sales amounts for this month
be found guilty of a Class A misdemeanor or a state jail felony
on last page
Net motor vehicle inventory
Fleet Sales
Dealer Sales
Subsequent Sales
under Texas Penal Code Section 37.10.
only
$
$
$
$
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