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AP-204-2

(Rev. 10-03/2)

TEXAS APPLICATION FOR TAX EXEMPTIONS

• TYPE OR PRINT

FOR MISCELLANEOUS ORGANIZATIONS

Page 1

• Do NOT write in shaded areas.

2. To apply for exemption from the Texas sales tax, franchise tax and/or hotel occupancy tax based on one of the other provisions for exemption available

under Texas law, check the appropriate box to indicate the type of exemption you are requesting, complete the application, and attach all required

documentation as identified in Publication #96-1045, Guidelines to Texas Tax Exemptions.

Cemetery Corporations (franchise)

Emergency Medical Service Corporations (franchise)

Certain Corporations subject to the Insurance Code (franchise)

Farmers Cooperative Societies (franchise)

Chambers of Commerce (sales and franchise)

Health Facility Development

Convention and Tourist Promotional Agencies (sales and franchise)

Corporations (franchise, sales & hotel occupancy)

Cooperative Associations (franchise)

Hospital Laundry Cooperative Associations (franchise and sales)

Cooperative Credit Associations (franchise)

Housing Finance Corporations (franchise, sales & hotel occupancy)

Corporations Exempted by Another Law (franchise)

Local Organizing Committees (franchise, sales & hotel occupancy)

Corporations with Business Interest In Solar Energy Devices (franchise)

Lodges (franchise)

Corporations Organized for Agricultural Purposes (franchise)

Marketing Associations (franchise)

Corporations Organized for Conservation Purposes (franchise)

Nonprofit Water Supply Corporations (franchise)

Corporations Involved with City Natural Gas Facility (franchise)

Open-End Investment Companies (franchise)

Corporations Organized to Provide Cooperative Housing (franchise)

Public Interest Organizations (franchise)

Corporations Organized to Provide Convalescent Homes for

Railway Terminal Corporations (franchise)

Elderly (franchise)

Recycling Operations (franchise)

Corporations Organized for Student Loan Funds or Student

Telephone Cooperatives (franchise, sales & hotel occupancy)

Scholarship Purposes (franchise)

Texas Natural Research Laboratory Commission

Credit Unions (franchise OR sales)

Corporations (franchise and sales)

Development Corporations (franchise and sales)

Volunteer Fire Departments (franchise and sales)

Electrical Cooperatives (franchise, sales & hotel occupancy)

Youth Athletic Organizations (franchise and sales)

3. ORGANIZATION NAME

(Legal name as provided on Articles of Incorporation, or if unincorporated, the governing document. If an out-of-state corporation, name must match the official corporate name as filed in the

home state of charter.)

4. ORGANIZATION MAILING ADDRESS

Street number, P.O. Box, or rural route and box number

City

State/province

ZIP code

County (or country, if outside the U.S.)

5. Texas taxpayer number (if applicable) ............................................................................................................................

6. Federal employer's identification number (FEIN) .....................................................................................................................

(Required if applying for exemption on the basis of a federal exemption)

7. File number issued by the Secretary of State ...................................................................................................................

(Corporations only. If an out-of-state corporation, include the home state and date of incorporation, and,

if applicable, the Certificate of Authority number issued by the Texas Secretary of State.)

OUT OF

Home

Date of

Certificate of

STATE ONLY

State

Incorporation

Authority file no.

8. Name, address and daytime phone number of the person submitting this application.

Name