Form Ap-160 - Texas Questionnaire For Battery Sales Fee Page 2
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2TEXAS QUESTIONNAIRE FOR BATTERY SALES FEE
SUSAN COMBS • TEXAS COMPTROLLER OF PUBLIC ACCOUNTS
WHO MUST FILE THIS QUESTIONNAIRE? – You must file this questionnaire if you are selling, storing, using, or consuming new or
used lead-acid batteries, for which a fee shall be collected at the time of sale.
DEFINITION
– Battery Sales Fee:
The battery sales fee is applied at a rate of:
• $2.00 for each lead-acid battery with a capacity of less than 12 volts;
• $3.00 for each lead-acid battery with a capacity of 12 volts or more.
The fee must be listed as a separate item on your sales invoice and is not subject to sales tax.
A lead-acid battery is exempt from the fee if it meets ALL the following criteria:
• it has a rating of less than 10 ampere hours;
• the sum of its dimensions is less than 15 inches; and
• it is sealed to prevent maintenance.
FOR ASSISTANCE - If you have any questions about this questionnaire, filing fee reports or any other fee-related matter, contact the
Texas State Comptroller’s Office at 1-800-252-5555 toll free nationwide, or call 512/463-4600.
Complete this questionnaire and mail to: TEXAS COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th Street
Austin, Texas 78774-0100
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.
GENERAL INSTRUCTIONS
• Please do not separate pages.
• Type or print.
• Write only in white areas
• Do not use dashes when entering Social Security, Federal Employer’s Identification, Texas Taxpayer or Texas Vendor Identification Numbers.
SPECIFIC INSTRUCTIONS
Item 2 - SOLE OWNER - Enter first name, middle initial and last
the Vendor Identification Number.
name.
Item 9 - DATE - Enter the month, day and year of the first sales
PARTNERSHIP - Enter the legal name of the partnership.
date for batteries sold.
CORPORATION - Enter the legal name exactly as it is registered
Item 10 If you check “OTHER,” identify the type of organization.
with the Secretary of State.
Examples: Social Club, Independent School District, Family Trust.
OTHER ORGANIZATION - Enter the title of the organization.
Item 14 - PARTNERSHIP - Enter the appropriate information for
Item 3 - Enter the complete mailing address where you want to
ALL partners. If a partner is a corporation, enter the Federal
receive mail from the Comptroller of Public Accounts. (NOTE: If
Employer’s Identification (FEI) number instead of the Social
you want to receive mail for other taxes at a different address,
Security number.
attach a letter with the other addresses.)
CORPORATION OR OTHER ORGANIZATION - Enter the
Item 8 - If you have both a Texas Taxpayer Number and a Texas
appropriate information for the principal officers (president, vice-
Vendor Identification Number, enter only the first eleven digits of
president, secretary, treasurer).
19. Legal name of owner (Same as Item 1)
The sole owner, all general partners, corporation president, vice-president, secretary, treasurer, or an
Date of application (month, day, year)
authorized representative must sign this application. Representative must submit a written power of attorney
with application. (Attach additional sheets, if necessary.)
20. I (We) declare that the information in this document and any attachments are true and correct to the best of my (our) knowledge and belief.
Type or print name and title of sole owner, partner, or officer
Sole owner, partner, or officer
Type or print name and title of sole owner, partner, or officer
Sole owner, partner, or officer
Type or print name and title of sole owner, partner, or officer
Sole owner, partner, or officer
Field office number
E.O. name
User ID
Date
AP-160 (Back)(Rev.1-07/16)
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