Form Ap-222 - Texas Registration For Motor Vehicle Related Finance Company - 2004 Page 2

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AP-222 (Back)

(Rev.8-11/4)

Registration for Related Finance Company

a. T code

c. TP

d. Amt

e. Suspense

f. PM

g. FP

9 9 1 0 0

600.00

0 1 4

• Type or print.

• Do NOT write in shaded areas.

1. Legal name of owner

(Sole owner, partnership, corporation or other name)

2. Mailing address

(Street & number, P.O. Box or rural route and box number)

City

State

ZIP code

County

Area code and number

3. Enter the daytime phone number of the person completing this registration. ..........................................

4. Enter your Federal Employer Identification (FEI) Number, if any. ..........................................................

5. Enter your taxpayer number for reporting any Texas tax OR

your Texas Vendor Identification Number if you now have or have ever had one. .......................

File/Charter number

Month

Day

Year

6. If the business is a Texas corporation or limited liability company, enter the file

number issued by the Texas Secretary of State and date of filing (if applicable). ..................

7. If the business is a non-Texas corporation or limited liability company, enter the state/country of incorporation, file number and date. If applicable,

enter the Texas Certificate of Authority number issued by the Texas Secretary of State and date.

State/country of inc.

File number

Month

Day

Year

Month

Day

Year

Texas Certificate of Authority number

State

Number

8. If the business is a limited partnership or registered limited liability partnership, enter the home

state and registered identification number. (Attach a copy of registration documentation.) ............................

9. Identify all motor vehicle seller finance dealers in which at least 80% of the ownership is identical to you and from whom you intend to purchase

accounts. Enter name and 11-digit Texas taxpayer number as it appears on their seller finance sales tax permit.

(Attach additional sheets, if necessary.)

Name