Form Ap-151-2 - Texas Supplement To Application For Fuels Tax Permit Form - 1998
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2AP-151-2
(Rev. 12-98/4)
TEXAS SUPPLEMENT TO APPLICATION FOR FUELS TAX PERMIT
Use this supplement to provide additional information requested in the application for Fuels Tax Permit.
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• Enter the "Date of Birth" as month, day, year.
Examples:
for "January 15, 1989" enter
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2
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5
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• PLEASE READ INSTRUCTIONS
for "December 5, 1989" enter
.
1. Legal name of owner
2. Taxpayer number
3. Name (Last, first, middle initial)
4. Social Security Number
5. Driver's license no.
State
–
–
6. Home address
City
State
ZIP Code
7. Phone (Area code & number)
/
8. Date of birth
9. Position
01 - Sole owner
02 - Partner
03 - Director
(Check all applicable boxes)
04 - Officer
05 - Corporate
06 - Record keeper
Stockholder
10. Percentage of ownership or corporate stock held
%
c/c
3. Name (Last, first, middle initial)
4. Social Security Number
5. Driver's license no.
State
–
–
6. Home address
City
State
ZIP Code
7. Phone (Area code & number)
/
8. Date of birth
9. Position
02 - Partner
03 - Director
(Check all applicable boxes)
05 - Corporate
04 - Officer
06 - Record keeper
Stockholder
10. Percentage of ownership or corporate stock held
%
c/c
3. Name (Last, first, middle initial)
4. Social Security Number
5. Driver's license no.
State
–
–
6. Home address
City
State
ZIP Code
7. Phone (Area code & number)
/
8. Date of birth
9. Position
02 - Partner
03 - Director
(Check all applicable boxes)
05 - Corporate
04 - Officer
06 - Record keeper
Stockholder
10. Percentage of ownership or corporate stock held
%
c/c
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