Form 05-359 - Request For Certificate Of Account Status - Texas Comptroller Of Public Accounts
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105-359
(Rev. 2-98/5)
REQUEST FOR CERTIFICATE OF ACCOUNT STATUS
Effective September 1, 1993, a fee is no
longer required for this service.
Requestor name
Requestor mailing address
City, State, ZIP code
Phone (Area code & number)
CORPORATE INFORMATION
1. Corporate name
2. Taxpayer number
Charter / Certificate of Authority number
or
3. Certificate of Account Status required for filing with the Secretary of State for
dissolution
merger
withdrawal
conversion when the converting entity is no longer subject to the franchise tax filing provisions
conversion when the converted entity is subject to franchise tax as required by law.
Certificate of Account Status required for
business purposes (not dissolution, merger, withdrawal, or conversion)
4. If the Certificate of Account Status is required for the purpose of dissolution, merger, withdrawal, or conversion will the
filing have a future effective date? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
If “YES,” enter the effective date: __________________________
5. If the Certificate of Account Status is required for the purpose of dissolution, answer the following questions:
A. Has the corporation commenced business? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
B. Has the corporation issued stock? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
6. If the Certificate of Account Status is required for the purpose of dissolution, merger or withdrawal, is the corporation still
conducting business in Texas? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
YES
NO
If “NO,” enter the last date of corporate activity in Texas: ________________________
Authorized agent
sign
here
NOTE: A final report must be filed with the Comptroller’s office before any corporation that was subject to the earned surplus
component will be allowed to dissolve, merge, withdraw, or convert to an entity that is no longer subject to the franchise
tax filing provisions. The final report must be filed, along with the annual franchise tax report, before a Certificate of
Account Status can be issued. To verify that all other filing requirements have been met, call toll free 1-800-252-1381
from anywhere in the United States. The Austin number is 512-463-4600. (From a Telecommunications Device for the
Deaf (TDD) ONLY call 1-800-248-4099 toll free, or call 512-463-4621.)
COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th Street
Austin, TX 78774-0100
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