Form Ap-114 - Business Tax Questionnaire Page 3
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3Form AP-114 (Back)(Rev. 7-94/10)
16. How are your business goods/products delivered in Texas (e.g., common carrier, company vehicles)? If company vehicles, please indicate
type of vehicles and first date of delivery into Texas. .........................................................................................................................................................
YES
NO
If the business is a trucking company does it have intrastate deliveries in Texas? .............................................................................................................
YES
NO
If yes, indicate the first date.
If the business is a trucking company does it store trailers in Texas? .................................................................................................................................
YES
NO
If yes, indicate location and first date.
YES
NO
17. 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.
18. Do you lease equipment or other property to lessees in Texas? ........................................................................................................................................
YES
NO
If "YES," please answer the following questions:
A.
What type of equipment or property?
B.
Where are leases negotiated?
and signed?
C.
In any of the leases, was the equipment or property located in Texas before the lease was executed? ....................................................................
YES
NO
D.
What is the disposition of the equipment or property at the end of the lease?
E.
Does your company provide installation, repair or instructions on the use of the equipment or property? ..................................................................
YES
NO
If "YES," please explain
F.
What was the first date you had equipment or other property leased to Texas customers?
19. Do you engage in regular or systematic solicitation of sales of items in Texas by the distribution of catalogs, periodicals,
advertising flyers or other advertising or by means of print, radio or television media, or by mail, telegraph, telephone, computer
YES
NO
data base, cable, optic, microwave or other communication systems? ...............................................................................................................................
a.
Date of first such activities in Texas.
YES
NO
20. Are you registered with the Texas State Board of Insurance as an active, licensed insurance carrier? .............................................................................
21. Who should be contacted regarding an audit of these records, if necessary?
NAME
TITLE
ADDRESS
PHONE
22. Name and phone number of individual who completed the questionnaire.
23. If corporation does not have a Texas Charter or Certificate of Authority, enter the name of a Texas resident to act as an agent for service.
(Every corporation doing business in Texas must designate a Texas resident as agent.)
NAME
ADDRESS (Street and number. Do not use P.O. Box)
City, Texas ZIP Code
24. Remarks
NOTE: If the questions above have not adequately covered your company's activities in Texas, please describe your activities
and contacts in Texas in a separate cover letter.
Name (Type or print)
Date
sign
Authorized signature
Title
here
Providing complete and accurate business information will expedite the processing of your questionnaire.
Please complete this questionnaire and mail to:
Comptroller of Public Accounts
Attn:
111 E. 17th Street
Austin, Texas 78774-0100
For assistance, call 1-800-252-1381 toll free nationwide or call 512/463-4600.
From a Telecommunications Device for the Deaf (TDD) ONLY, call 1-800-248-4099 toll free. The Austin TDD number is 512/463-4621.
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