COMPTROLLER OF PUBLIC ACCOUNTS
00-750
STATE OF TEXAS
(Rev.3-03/11)
AUDIT QUESTIONNAIRE
You have certain rights under Ch. 559, Government Code, to review,
request, and correct information we have on file about you.
Taxpayer name and address
Taxpayer number(s)
FEI #
Legal name and address, if different from above (Attach additional sheets, if necessary.)
SS #
Website address, if applicable
Disclosure of your social security number is required and authorized under law, for the purpose of tax administration and identification of any individual affected by applicable law.
42 U.S.C. sec 405(c)(2)(C)(i); Tex. Gov't Code secs 403.011 and 403.078. Release of information on this form in response to a public information request will be governed by the
Public Information Act, Chapter 552, Government Code, and applicable federal law.
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)
A. Corporation
B. Limited Liability Company
C. Sole Proprietorship
D. Partnership
E. Other
Has the corporation been involved in a reorganization, e.g. a purchase
If "YES," attach a
YES
NO detailed explanation.
or merger, or had a name change within the last seven years?
Provide Corporation Charter or Certificate of
Authority number and date issued, if applicable.
Who is the person to contact to start our examination?
Mr.
Mrs.
Ms.
Name
Title
Physical address
E-mail address (if available)
Phone number
FAX number
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, sign a power of attorney, and accept a notification of
sampling procedures? This would normally be an officer of a corporation, a partner, or owner.
Name
Title
Mr.
Mrs.
Ms.
E-mail address (if available)
Physical address
Phone number
FAX number
Have you received a refund of any taxes administered by the Comptroller within the last four (4) years?
YES
NO
Type of business
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 examination.
Where are the sales tax records located?
CITY
STATE
Where are the franchise tax records located? CITY
STATE
Where are the other tax records located?
CITY
STATE
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.
Check the items you have located in Texas:
A. MANUFACTURING PLANT
E. REAL PROPERTY
I. SPACE IN DEPT. OR CHAIN STORE
B. OFFICE
F. PERSONAL PROPERTY
J. TERMINAL FACILITY
(e.g., district)
C.WAREHOUSE
G.STOCK OF GOODS, INVENTORY
K. EMPLOYEES
(owned or leased)
D.RETAIL OUTLET
H.LEASED PROPERTY
L. INDEPENDENT REPRESENTATIVES
Does your business maintain records or file tax returns for any related company, subsidiary, or affiliated firm?
YES
NO
Please attach a listing of all company names and FEI numbers.
Name (Type or print)
Title
Date
Authorized signature (Owner, corporate officer, or director)