Form Ap-110 - Texas Application For Gross Receipts Tax Permit Page 3
Download a blank fillable Form Ap-110 - Texas Application For Gross Receipts Tax Permit in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ap-110 - Texas Application For Gross Receipts Tax Permit with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4AP-110-3
TEXAS APPLICATION
(Rev.6-09/16)
PRINT FORM
CLEAR FORM
FOR
GROSS RECEIPTS TAX PERMIT
Page 1
• Please read instructions
• TYPE or PRINT
• Do not write in shaded areas
For Comptroller 's use only
Oil and Gas Well Servicing
Gas
1. Check the type(s) applicable .................................
Electric Light and/or Power
Water Works Plants
FEEAPP
Job name
2. Legal name of owner (Sole owner, partnership, corporation, or other name)
00991
•
Tax type / reason
3. Mailing address (Street & number, P.O. Box or rural route and box number)
2 0
•
City
State
ZIP code
County
Reference number
•
•
•
Master name change
•
4. Enter a daytime phone number (Area code and number) .....................
0 - Send
1 - Do not send
5. Enter your Social Security number if you are a sole owner ...................
6. Enter your Federal Employer's Identification Number (FEIN), if any
Master account set-up
1
assigned by the United States Internal Revenue Service .....................
XAMAST
3
Master mailing
address change
XUMAST
If "YES," enter number.
7. Are you a subsidiary or division
of another company? ......................................................
YES
NO
County code
If "YES," enter number.
8. Do you now have a taxpayer number for reporting any
Texas tax OR a Texas Vendor Identification Number? ..
YES
NO
Ownership type
Oil and gas well servicing
Utilities
9. The first sales date of well
servicing or utilities (month, day, year) .................
10. Indicate how your business is owned. ...................
Sole owner
Partnership
Texas corporation
Master phone number
add / change
Foreign corporation
Limited partnership
Other (Explain) ___________________________________
XUMAST
File number
File date
11. If your business is a Texas corporation,
enter the file number and date. ................
Secondary mailing
address set-up
12. If your business is a corporation in another state, enter the file number and date.
XAADDR
Home state
Charter number
Texas Certificate of Authority number
Texas Cert. of Authority date
Tax type
Home state
Identification number
13. If your business is a limited partnership,
County code
enter the home state and identification number .................
14. General partners, principle officers, managing directors, or managers. (Attach additional sheets, if necessary.)
Partnership set-up
Name
Social Security or Federal Employer's identification no. Title
XAPRTN
•
•
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
GROSS RECEIPTS
TAX SET-UP
XASTAT
Name
Social Security or Federal Employer's identification no. Title
•
•
Tax type
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
Effective date
mm
dd
yyyy
Name
Social Security or Federal Employer's identification no. Title
•
•
•
Vendor hold
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
1 = Yes
•
2 = No
Name
Social Security or Federal Employer's identification no. Title
Included in audit
•
•
1 = Yes
•
Home address (Street & number, city, state, ZIP code)
Phone (Area code & number)
2 = No
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial