Form Ap-118-3 - Texas Application For Manufactured Housing Sales Tax Permit

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AP-118-3
PRINT FORM
CLEAR FORM
(Rev.4-12/16)
Texas Application for
• Type or print.
Manufactured Housing Sales Tax Permit
• Do NOT write in shaded areas.
Page 1
1. Legal name of owner (sole owner, partnership, corporation or other name)
2. Mailing address (street and number, P.O. Box or rural route and number)
City
State
ZIP code
County
3. Enter a daytime phone number (area code and number) .........................................................
4. Enter your Social Security number if you are a sole owner .............................................................
5. Taxpayer number for reporting any Texas tax OR Texas identification
number if you now have or have ever had one ...............................................................................
6. Federal Employer Identification Number (FEIN) assigned by the Internal Revenue Service ................
3
7. Are you a subsidiary or division of another company? ..........................................................................................................
YES
NO
If “YES,” enter number.
8. Indicate how your business is owned.
1 - Sole owner
2 - Partnership
3 - Texas corporation
6 - Foreign corporation
7 - Limited partnership
4 - Other (explain)
9. If the business is a Texas profit corporation, nonprofit
Charter number
Month
Day
Year
corporation, professional corporation, or limited liability
company, enter the charter number and date. ..........................................
10. If the business is a non-Texas entity, enter the state or country of formation, charter number and date, and Texas Certificate of Registration
number and date.
State/country of formation
Charter number
Month
Day
Year
Texas Certificate of Registration number
Month
Day
Year
State
File number
11. If the business is a limited partnership or registered limited liability
partnership, enter the home state and file number. ..................................................................................
12. General partners, principal members/officers, managing directors or managers
(All general partners MUST be listed - Attach additional sheets, if necessary.)
Name
Title
Phone (area code and number)
Home address
City
State
ZIP code
Date of birth
SSN or FEIN
Driver license number
State
County (or country, if outside U.S.)
Month
Day
Year
Percent of
ownership ______ %
Position held
General partner
Limited partner
Officer
Director
Corporate stockholder
Record keeper
Name
Title
Phone (area code and number)
Home address
City
State
ZIP code
Date of birth
SSN or FEIN
Driver license number
State
County (or country, if outside U.S.)
Month
Day
Year
Percent of
ownership ______ %
Position held
General partner
Limited partner
Officer
Director
Corporate stockholder
Record keeper
Name
Title
Phone (area code and number)
Home address
City
State
ZIP code
Date of birth
SSN or FEIN
Driver license number
State
County (or country, if outside U.S.)
Month
Day
Year
Percent of
ownership ______ %
Position held
General partner
Limited partner
Officer
Director
Corporate stockholder
Record keeper

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