Form Ap-228-1 - Application For Texas Agricultural And Timber Exemption Registration Number (Ag/timber Number) Page 3
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1
2
3AP-228-3
(6-11)
Application for Texas Agriculture and Timber Exemption Registration Number
(cont.)
Page 3
Legal name (same as Item 1 OR Item 10)
For Comptroller Use Only
19. The sole owner, all general partners, corporation president, vice-president, secretary or treasurer, managing director
Date of signature(s)
Month
Day
Year
or an authorized representative must sign this application. An authorized representative must submit a written power
of attorney with application. (Attach additional sheets, if necessary.)
I understand that by signing this application, I am certifying that I am engaged in the production of agriculture and/or timber products for sale.
I understand that I am required to keep records to verify eligibility for the exemption(s) and that I will be required to pay sales or use tax on purchases
that do not qualify for the exemption(s), in addition to any applicable interest and penalties. I understand that it is a criminal offense to give an
exemption certifi cate to the seller for taxable items that I know will be used in a manner that does not qualify for the exemptions found in Tax Code
Secs. 151.311, 151.316, 151.3162, 151.317 and 152.089. The offense may range from a Class C misdemeanor to a felony of the second degree.
Type or print name and title of sole owner, partner or offi cer
Driver license number/state
Sole owner, partner or offi cer
Type or print name and title of partner or offi cer
Driver license number/state
Partner or offi cer
Type or print name and title of partner or offi cer
Driver license number/state
Partner or offi cer
To Submit Form - Sign and date the application. The completed application can be delivered in person to any of our local offi ces or mailed
to our main offi ce at:
Comptroller of Public Accounts
111 E. 17th St.
Austin, TX 78774-0100
After we have received your completed and signed application you will generally receive your permit in approximately three to four weeks.
Incomplete applications may delay the process.
For Assistance - If you have any questions about the registration process, please see our frequently asked questions online as well as
our publications at You may also contact us by email at tax.help@cpa.state.tx.us or by
phone, Monday through Friday (except federal holidays), from 7:30 a.m. to 5:30 p.m. at 1-800-252-5555 or 512-463-4600.
Federal Privacy Act - Disclosure of your Social Security number is required and authorized under law, for the purpose of tax adminis-
tration 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 information 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.
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