Form Ap-118-2 - Texas Application For Manufactured Housing Sales Tax Permit Page 2
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1
2AP-118-3
(Rev.3-03/10)
TEXAS APPLICATION FOR
MANUFACTURED HOUSING SALES TAX PERMIT
Page 2.
• Please read instructions
• TYPE OR PRINT
• Do not write in shaded areas
13. Legal name of owner (Same as Item 1)
14. Enter business trade name and location where your records are maintained.
For Comptroller's use only
FEEAPP
Trade name
00991
Address (Street address or meaningful directions NOT P.O. Box or Rural route Number)
Business phone (Area code & no.)
Tax type/reason
4 6 2 0
City
State
ZIP code
County
Reference number
15. Texas Department of Labor and Standards Registration Number(s)
XAPERM
Effective date
•
mm
dd
yyyy
16. Date of first business operation in Texas
IF YOU PURCHASED AN EXISTING BUSINESS OR BUSINESS ASSETS, COMPLETE ITEMS 16-19. IF YOU DID NOT, SKIP TO ITEM 20.
17. Enter the former owner's trade name. If known, enter the former owner's Texas taxpayer number.
Permit status
Blank = Permitted
•
D = Non-permitted
Trade name
Taxpayer number of former owner
for signature
Vendor hold
1 = Yes
18. Enter the former owner's legal name. If known, enter the former owner's address and telephone number.
•
2 = No
Department of Labor number
Legal name of former owner
Phone (Area code & number)
•
OF
NR
Address of former owner (Street & number, city, state, ZIP code)
Former owner is
19. Check each of the following items you purchased. (This includes the value of stock exchanged for assets.)
Active
Inventory
Corporate stock
Equipment
Real estate
Other assets
OOB
20. Enter the purchase price of the business or assets purchased and the date of purchase.
TCR attached
TCR previously
Purchase price
Date of purchase (Mo., day, year)
submitted
$
Date of application
The sole owner, all general partners, corporation president, vice-president, secretary, treasurer or an
authorized representative must sign this application. Representative must submit a written power of
(Mo., day, year)
attorney with application.
(Attach additional sheets if necessary.)
21. I (We) declare that the information in this document and any attachments is true and correct to the best of my (our) knowledge and belief.
Type or print name and title of sole owner, partner or officer.
Sole owner, partner or officer
sign
here
Type or print name and title of partner or officer.
Partner or officer
sign
here
Type or print name and title of partner or officer.
Partner or officer
sign
here
Date
Field office number
E.O. nam e
Destin
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