Form 01-149 - Texas Direct Pay Tax Return - Credits Schedule - 2003

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01-149
PRINT FORM
CLEAR FIELDS
HHHH
(Rev.1-10/3)
b.
27160
Page _____ of _____
a.
Do not staple or paper clip.
Do not write in shaded areas.
Texas Direct Pay
e.
c. Taxpayer number
d. Filing period
f. Due date
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 Web site 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.
Date
Daytime phone (Area code & number)
Taxpayer or duly authorized agent
If you have any questions, you can contact the Texas Comptroller's field office in your
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
area or call (800) 252-5555 or (512) 463-4600. Details are also available online at
P.O. Box 149354
Our Tax Help e-mail address is tax.help@cpa.state.tx.us.
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 toll-free number listed on this form.

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