COMPTROLLER OF PUBLIC ACCOUNTS
STATE OF TEXAS
You have certain rights under Ch. 559, Government Code, to review, request, and correct information
we have on file about you. Contact us at the address or toll-free number listed on this form.
Taxpayer name and address
Legal name and address, if different from above (Attach additional sheets, if necessary.)
The following information will allow us to become familiar with you and your business operations.
Type of business (If "B" is checked, attach a list of LLC's which are members of the Limited Liability Company)
B. Limited Liability Company
C. Sole Proprietorship
State of incorporation
Date of incorporation
Has the corporation been involved in a reorganization or had a name change within the last seven years?
Attach a detailed explanation.
Do you have a Corporation Charter or Certificate of Authority to do business in
If "YES," give charter or certificate number and date issued.
Texas issued by the Texas Secetary of State?
Who is the person to contact to start our examination?
E-mail address (if available)
Who, on behalf of your business, is authorized to enter into a written agreement extending the period of limitation during which the tax may be
assessed, accept a notification of the 60 day requirement to obtain resale or exemption certificates, and accept a notification of sampling procedures?
This would normally be an officer of a corporation, a partner, or owner.
Type of business engaged in
(Check as many as applicable.)
Company's normal accounting period ending date
Type of product or service
First date service was provided in Texas or products
shipped into Texas
Records such as journals, ledgers, sales and purchase invoices, copies of Texas tax reports, and resale or exemption certificates may be requested and
should be made available for use during an examination.
Where are these records located?
NOTE: If your business makes sales that are subject to state and/or local sales taxes, you should have on file completed resale or exemption
certificates for all tax-free sales.
Do you have these certificates on file?
If "NO," you should immediately obtain any certificates needed. (A taxpayer number or copy of a sales tax permit by itself is not valid.)
All sales on which you did not collect tax and for which you do not have a valid certificate on file will be assessed tax in an examination.
Check the items you have located in Texas:
SPACE IN DEPT. OR CHAIN STORE
STOCK OF GOODS, INVENTORY
(owned or leased)
Does your business maintain records for any related division, subsidiary or affiliated firm?
Is your business a general partner in a partnership or joint venture or
a member of a limited liability company doing business in Texas?
If "YES," indicate first date in Texas and attach a detailed explanation.