Form 01-149 - Direct Pay Tax Return (Credits Schedule)

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01-149
PRINT FORM
CLEAR FIELDS
HHHH
(Rev.8-12/5)
b.
Page _____ of _____
a.
Texas Direct Pay
e.
d. Filing period
f. Due date
c. Taxpayer number
Tax Return
Credits Schedule
Taxpayer name and mailing address (Make corrections next to any incorrect information.)
g.
Do not staple or paper clip.
Do not write in shaded areas.
h.
i.
PLEASE PRINT YOUR NUMERALS LIKE THIS
Examples of these credits include:
-- mistakenly paying tax to a vendor on exempt manufacturing equipment.
-- accrued tax on a non-taxable purchase in error.
-- accrued AND paid tax on a taxable purchase.
Local Tax
Local tax (city, county, MTA, CTD and SPD taxes) can be included in the credit examples above only if the purchaser
reported to the same local jurisdictions as the vendor. If the local tax jurisdictions do not match, or if the jurisdiction for which
the local tax was collected is not known, a refund claim must be filed for the local tax. See Comptroller's website at
for refund instructions.
If you answered "YES," to Item j of your Direct Payment Return, Form 01-119, you must complete Items 1 and 2, below.
NOTE: The data entered here is for information purposes only. It is not used in calculating tax due on this report
1. Amount of tax credit being taken on this return
(Enter dollars and cents.)
2. Earliest date of the tax paid in error for this credit
(mm-dd-yy)
I declare that the information in this document and any attachments is true and correct to the best of my knowledge.
Taxpayer or duly authorized agent
Daytime phone (Area code & number)
Date
Mail to: Comptroller of Public Accounts
If you have any questions, call 1-800-252-5555 or 512-463-4600.
P.O. Box 149354
Details are also available online at
Austin, TX 78714-9354
You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information
we have on file about you. Contact us at the address or phone number listed on this form.

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