Form Ap-102-2 - Hotel Occupancy Tax Page 2
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1
2AP-102-3
TEXAS TAX QUESTIONNAIRE
(Rev.12-98/14)
Page 2
HOTEL OCCUPANCY TAX
• Please read instructions
• TYPE OR PRINT
• Do not write in shaded areas
17. Legal name of owner (Same as Item 1)
For Comptroller’s use only
18. Trade name of your business (Actual name under which you operate)
Business phone (Area code & no.)
FEEAPP
Job name
00991
19. Location of your business (Use street & no.or directions - NOT P.O. Box or Rural Route no.)
Fee type/reason
7 5 2 0
City
State
ZIP code
County
Reference number
ITEMS 20-28 REFER TO THE LOCATION AND CITY NAMED IN ITEM 19
20. Is this location inside the city limits? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO If “YES,” leave Item 21 blank.
Outlet/location set-up
• 01300
FALCON
21 Is this location engaged in business in cities that collect Texas Local Sales and Use Tax? _ _ _ _ _ _ _ _ _ _
YES
NO
22. Is this location in a Metropolitan Transit Authority (MTA)/City Transit Department (CTD)?
_ _ _ _ _ _ _ _ _ _
YES
NO
Outlet number
23. For this location, list any MTA(s) or CTD(s) in which you are engaged in business.
•
24. If this location is in an MTA/CTD, will you be shipping outside the MTA/CTD?
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
County code
•
25 Is this location engaged in business in counties other than the county named in Item 19
that collect Texas county sales and use tax?
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
Jurisdiction code
26. Is this location engaged in business in other counties that impose Texas county tax?
_ _ _ _ _ _ _ _ _ _ _ _
YES
NO
City
MTA/CTD
•
•
27. Is this location in a Special Purpose District?
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
CNTY
SPD
28. For this location, list all SPD(s) in which you are engaged in business.
•
•
Business code
29. Describe your Texas business and the goods or services you sell.
•
30. Enter the date you began operation of this hotel/motel. (Month, day, year) _ _ _ _ _ _ _ _ _
XAPERM
First rental date
31. Enter the number of rentable rooms in this hotel/motel. (See instructions.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
mm
dd
yyyy
•
32. Do you own or rent/lease the real property at this location? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
OWN
RENT/LEASE
If you rent or lease the real property, enter the property owner’s name and address.
Number of rooms
Property owner’s name
•
Filing type
Property owner’s address
•
Sole owner, all general partners or corporation president, vice-president, secretary or treasurer must sign this application.
(Attach additional sheets if necessary.)
Date of application
33. I (We) declare that the information in this document and any attachments is true and correct to the best of my (our) knowledge and belief.
Type or print name of sole owner, partner, officer or member
Sole owner, partner or officer
sign
here
Type or print name of partner or officer
Partner or officer
sign
here
Type or print name of partner or officer
Partner or officer
sign
here
Field office
COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th Street
Enforcement officer
Number
Austin, Texas 78774-0100
Date
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Parent category: Financial