Form 00-812 - Irrevocable Letter Of Credit
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Sales Tax
Diesel Fuel
Gasoline
International Fuel Tax Agreement
Pari-Mutuel Wagering
Texas Petroleum Products Delivery Fee
Mixed Beverage Gross Receipts
Fireworks Sales Tax
Cigarette Tax
Tobacco Tax
Customs Broker
IRREVOCABLE LETTER OF CREDIT NUMBER ____________________________________________________ Date _____________________
Comptroller of Public Accounts
111 E. 17th Street
Austin, Texas 78774-0100
Dear Comptroller:
We hereby issue our irrevocable letter of credit in your favor for the account of ______________________________________________________
____________________________________________________________________________________________________________________
up to an aggregate amount of $ ___________________________________ . This amount is available by your drafts at sight drawn on
____________________________________________________________________________________________________________________
bearing the clause: “Drawn under letter of credit number ________________________________________ of ____________________________
________________________________________________________________________________________ .” The draft must be accompanied
by:
1. A “Payment Demand Notice” issued by the Comptroller on the account identified above, and
2. A microfilm copy of the original of this letter of credit.
This letter of credit expires on _____________________________________ .
We hereby engage with you that drafts drawn under and in compliance with the terms of this letter of credit will be duly honored upon
presentation at our office.
This letter of credit is subject to the Uniform Customs and Practice for Documentary Credits (2007 revision), International Chamber of
Commerce Publication No. 600.
Name of financial institution officer (Type or print)
Title of officer
Officer
Name of financial institution (Type or print)
FEI number
Address
Complete the taxpayer information below
Taxpayer name (Legal entity name only)
Taxpayer number, Social Security number or FEI number
Taxpayer mailing address
00-812
(Rev.7-07/13)
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 listed on this form.
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. §405(c)(2)(C)(i); Tex. Govt. Code §§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.
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Parent category: Financial