Form Ap-110 - Texas Application For Gross Receipts Tax Permit
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4TEXAS APPLICATION FOR GROSS RECEIPTS TAX PERMIT
Oil and Gas Well Servicing or Gas, Electric Light, Electric Power or Water Works Plants
SUSAN COMBS • 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 do business in Texas AND/OR
• you will be responsible for collecting and/or paying a Gross Receipts Tax.
DEFINITIONS - Oil and Gas Well Servicing: An occupation tax is levied on persons who perform certain services associated with oil and gas
wells. The tax is 2.42 percent of the gross amount of the charge for service, less the reasonable wellhead value of any material used
or consumed in the well. If the tax is collected from a customer it must be included in the service company's gross receipts reported
for tax purposes.
Gas, Electric Light, Electric Power or Water Works Plants: A tax is imposed on each utility company located in an incorporated city
or town having a population of more than 1,000 according to the most recent federal census preceding the filing of the report.
FOR ASSISTANCE - If you have any questions about this application, filing reports or any other tax-related matter, contact the Texas State
Comptroller's office at (800) 531-5441, extension 3-4276, or (512) 463-4276.
Complete this application and mail to:
COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th Street
Austin, TX 78774-0100
GENERAL INSTRUCTIONS -
• Type or print only in white areas
• Do not use dashes when entering Social Security, Federal Employer's Identification, Texas Taxpayer or Texas Vendor Identification
Numbers.
• Disclosure of your Social Security number is required and authorized under law. It will be used for tax administration and certification
of any individual affected by the law.
Legal cite: 42 U.S.C.A. sec. 405(c)(2)(C)(i)
Under Ch. 559, Government Code, you are entitled to review, request, and correct information we have on file about you,
with limited exceptions in accordance with Ch. 552, Government Code. To request information for review or to request error correction,
contact us at the address or phone number listed on this form.
SPECIFIC INSTRUCTIONS
Item 2 - SOLE OWNER - Enter first name, middle initial and last name.
PARTNERSHIP - Enter the legal name of the partnership.
CORPORATION - Enter the legal name exactly as it is registered with the Secretary of State.
OTHER ORGANIZATION - Enter the title of the organization.
Item 3 - Enter the complete mailing address where you want to receive mail from the Comptroller of Public Accounts.
(NOTE: If you want to receive mail for other taxes at a different address, attach a letter with the other addresses.)
Item 8 - If you have both a Texas Taxpayer Number and a Texas Vendor Identification Number, enter only the first eleven digits of the
Vendor Identification Number.
Item 9 - DATE - Enter the month, day and year of the first sales date of oil and gas well servicing or utilities.
Item 10 - If you check "OTHER," identify the type of organization. Examples: Social Club, Independent School District, Family Trust.
Item 14 - PARTNERSHIP - Enter the information for ALL partners. If a partner is a corporation, enter the Federal Employer's Identification
(FEI) Number instead of the Social Security Number.
CORPORATION OR OTHER ORGANIZATION - Enter the information for the principal officers (president, vice-president,
secretary, treasurer).
AP-110-1 (Rev.6-09/16)
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