PRINT FORM
CLEAR FORM
00-812
You have certain rights under Chapters 552 and 559,
(Rev.1-16/15)
Government Code, to review, request, and correct information
we have on file about you. To request information for review or
Irrevocable Letter of Credit
to request error correction, contact the State Comptroller's office.
Check one.
Sales Tax
Gasoline
Pari-Mutuel Wagering
Cigarette Tax
Diesel Fuel
Sexually Oriented Business Fee
Tobacco Tax
Mixed Beverage Sales Tax
International Fuel Tax Agreement (IFTA)
Customs Broker
Mixed Beverage Gross Receipts Tax
Texas Petroleum Products Delivery Fee
Compressed Natural Gas/Liquefied Natural Gas
IRREVOCABLE LETTER OF CREDIT NUMBER
____________________________________________________
Date _____________________
Comptroller of Public Accounts
111 E. 17th Street
Austin, TX 78774-0100
Dear Comptroller:
We hereby issue our irrevocable letter of credit in your favor for the account of ______________________________________________________
____________________________________________________________________________________________________________________
up to an aggregate amount of $ ___________________________________ . This amount is available by your drafts at sight drawn on
____________________________________________________________________________________________________________________
bearing the clause: “Drawn under letter of credit number ________________________________________ of ____________________________
________________________________________________________________________________________ .”
The draft must be accompanied by:
1. A “Payment Demand Notice” issued by the Comptroller on the account identified above, and
2. A copy of the original letter of credit.
This letter of credit expires on _____________________________________ .
We hereby engage with you that drafts drawn under and in compliance with the terms of this letter of credit will be duly honored upon
presentation at our office.
This letter of credit is subject to the Uniform Customs and Practice for Documentary Credits (2007 revision), International Chamber of
Commerce Publication No. 600.
Name of financial institution officer (Type or print)
Title of officer
Officer
Name of financial institution (Type or print)
FEI number
Address
Complete the taxpayer information below.
Taxpayer name (Legal entity name only)
Texas taxpayer number
Taxpayer mailing address