Form Ap-169 - Texas Application For Motor Vehicle Seller-Financed Sales Tax Permit
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1
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3TEXAS APPLICATION FOR
MOTOR VEHICLE SELLER-FINANCED SALES TAX PERMIT
SUSAN COMBS • TEXAS COMPTROLLER OF PUBLIC ACCOUNTS
GENERAL INFORMATION
WHO MUST SUBMIT THIS APPLICATION -
You must submit this application if:
• you are a sole owner, partnership, corporation or other organization which intends to finance sales of
motor vehicles
AND/OR
• you will be responsible for collecting and/or paying seller-financed Motor Vehicle Receipts Tax.
Permit applicants must hold a Motor Vehicle Dealer License issued by the Texas Department of Transportation.
Applicants should contact the Office of Consumer Credit Commissioner concerning a Motor Vehicle Dealer's
Financing license.
FOR ASSISTANCE -
If you have any questions about this application, filing tax returns or any other tax-related matter, contact the Texas
Comptroller's office at (800) 252-1382 or (512) 463-4600.
GENERAL INSTRUCTIONS -
• Please do not separate pages.
• Write only in white areas.
• Complete this application and mail to: COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th Street
Austin, TX 78774-0100
FEDERAL PRIVACY ACT - Disclosure of your Social Security number is required and authorized under law, for the purpose
of tax administration and identification of any individual affected by applicable law. 42 U.S.C. §405(c)(2)(C)(i); Tex. Govt.
Code §§403.011 and 403.078. Release of information on this form in response to a public information request will be governed
by the Public Information Act, Chapter 552, Government Code, and applicable federal law.
You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we
have on file about you. Contact us at the address or phone number listed on this form.
SPECIFIC INSTRUCTIONS
Items 3 & 6 - If you have both a Texas taxpayer number and a Texas Identification Number, enter the Texas Identification
Number. (Use only the first eleven digits of this number.)
Item 7 - Enter the Federal Employer Identification Number (FEIN) assigned to your business by the Internal
Revenue Service.
Item 9 - Enter complete mailing address where you wish to receive mail from the Comptroller of Public Accounts.
If you wish to receive mail at a different address for other taxes, attach a letter with other addresses.
Item 15 - PARTNERSHIP: Enter information for all partners. If a partner is a corporation, enter the Federal
Employer Identification Number (FEIN) of the corporation. If a general partner is an individual, enter the
Social Security number.
CORPORATION or OTHER ORGANIZATION: Enter the information for the principal officers (president,
vice-president, secretary).
Item 22 - Enter the Motor Vehicle Dealer Number that was assigned by the Texas Department of Transportation
for your primary location.
Item 23 - Enter the date you started or plan to start seller-financed transactions in Texas. (The date cannot be prior to
October 1, 1993.)
AP-169-1 (Rev.5-09/8)
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