Form 40-148 - Veterans Assistance Fund Report
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140-148
(10-09)
PRINT FORM
CLEAR FORM
3.
veterans assistance fund rePOrt
• SEE INSTRUCTIONS
• TYPE OR PRINT
90100
740
1.
2.
• WRITE ONLY IN WHITE AREAS
4. Taxpayer number
6.
6. Date of receipt
Taxpayer name and mailing address
5.
7.
7. Total transactions
8.
8. Total donations received
9.
I declare that the information in this document and any attachments is true and correct to the best of
9. aMOunt due
my knowledge and belief.
Taxpayer or duly authorized agent
Daytime phone
Date
instructiOns BeLOW
Detach here and return this part only
Keep this part for your files
40-148
(10-09)
3.
veterans assistance fund rePOrt
• SEE INSTRUCTIONS
• TYPE OR PRINT
90100
740
1.
2.
• WRITE ONLY IN WHITE AREAS
4. Taxpayer number
6.
6. Date of receipt
Taxpayer name and mailing address
5.
7.
taXPaYer cOPY
7. Total transactions
8.
8. Total donations received
9.
I declare that the information in this document and any attachments is true and correct to the best of
9. aMOunt due
my knowledge and belief.
Taxpayer or duly authorized agent
Daytime phone
Date
instructiOns BeLOW
Pay the amount of Item 9 in one check
WHO Must fiLe –
GeneraL instructiOns -
• Please write only in white areas.
payable to:
Each County Tax Assessor-Collector who
• If any preprinted information on this return
receives a donation to the Veterans Assis-
is incorrect, OR if you do not qualify to file
state cOMPtrOLLer
tance Fund must remit the total donation to
the Comptroller.
this return, contact the Comptroller’s local
Use the enclosed return envelope and mail
field office nearest you.
Sec. 502.1746, Transportation Code, effective
the top portion of this form with your pay-
June, 2009.
ment to:
sPecific instructiOns -
WHen tO fiLe –
item 6 - Enter the date of receipt. If more
cOMPtrOLLer Of PuBLic accOunts
You must remit donations before the 31st
than one donation is being remitted, enter
111 E. 17th Street
day after the date of receipt.
the date of the earliest receipt.
Austin, Texas 78774-0100
item 7 - Enter the number of individual dona-
WHO tO cOntact fOr assistance–
tions received.
You have certain rights under Chapters
For assistance, please contact the Texas
item 8 - Enter the total amount of donations
552 and 559, Government Code, to review,
State Comptroller’s office at
received.
request and correct information we have on
(800) 531-5441, ext. 3-4276, or call
file about you. Contact us at the address or
item 9 - Enter the total amount due and
(512) 463-4276.
phone numbers listed on this form.
payable for this report.
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