Form Ap-133-2 - Texas Application For Fuels Tax Permit
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3TEXAS APPLICATION FOR
AP-133-2
(Rev. 12-98/13)
FUELS TAX PERMIT
Page 1.
• PLEASE READ INSTRUCTIONS
• TYPE OR PRINT
• WRITE ONLY IN WHITE AREAS
For Comptroller's Use Only
1. Type of Fuels Tax Permit you are applying for.
Gasoline
Diesel Fuel
Liquefied Gas
00990
2. Legal name of owner (Sole owner, partnership, corporation or other name)
2 0
Tax type
•
3. Mailing address (Street & no., P.O. Box or rural route and box no.)
NENTRY
Master account set-up
•
ZIP code
County
City
State
•
01100
•
•
•
Master mailing
address change
Area code
Number
4. Enter the daytime phone number of the person
/
•
01180
•
primarily responsible for filing tax returns.
Master phone number
5. Enter your Federal Employer's Identification (FEI)
1
add/change
Number, if any
•
01185
2
County code
6. Enter your Social Security Number if you are a sole owner
•
3
7.
Check here if you do not have either number
Ownership type
8.
Enter your taxpayer number for reporting any Texas tax OR your Texas
Vendor Identification Number if you now have or have ever had one
•
9. Indicate how your business is owned.
2 - Partnership
1 - Sole owner
3 - Texas corporation
7 - Limited partnership
6 - Foreign corporation
4 - Other (explain)
0
0
0
0
•
Charter Number
Charter date
• If your business is a Texas corporation,
enter the charter number and date
Partnership set-up
• If your business is a foreign corporation, enter home state, charter number, Texas Certificate of Authority Number & date
•
01140
Home state
Charter number
Texas Cert. of Auth. No.
Cert. of Auth. date
Secondary mailing
address set-up
Home state
Identification number
• If your business is a limited partnership,
•
02720
enter the home state and identification number
Secondary mailing
10. List all general partners or principal officers of your business. If you are a sole owner, skip Item 10.
address change
Name (First, middle initial, last)
Social Security Number
Title
•
02721
•
•
Home address (Street & no., city, state, ZIP code)
Phone (Area code & no.)
Secondary mailing
address deletion
02722
•
Name (First, middle initial, last)
Social Security Number
Title
•
•
Tax type
Home address (Street & no., city, state, ZIP code)
Phone (Area code & no.)
•
Name (First, middle initial, last)
Social Security Number
Title
County code
•
•
•
Home address (Street & no., city, state, ZIP code)
Phone (Area code & no.)
If you purchased an existing business or business assets, complete Items 11-14. If you did not, skip to Item 15.
OF
NR
11. Enter the former owner's trade name. If known, enter the former owner's Texas taxpayer number.
Trade name
Taxpayer number of former owner
Former owner is
Active
12. Enter the former owner's legal name. If known, enter the former owner's address and telephone number.
Phone (Area code & no.)
Legal name of former owner
OOB
TCR attached
Address of former owner (Street & number, city, state, ZIP code)
TCR previously
13. Check each of the following items you purchased.
submitted
Inventory
Corporate stock
Equipment
Real estate
Other assets
14. Enter the purchase price of the business or assets purchased and the date of purchase.
Purchase price
Date of purchase
$
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