Texas Application for Motor Vehicle
Seller-Financed Sales Tax Permit
General Information
Who Must Submit This Application -
You must submit this application if you are a sole owner, partnership, corporation or other
organization which intends to finance sales of motor vehicles
Applicants must hold a motor vehicle license issued by the Texas Department of Motor Vehicles.
Applicants should contact the Office of Consumer Credit Commissioner concerning a Motor
Vehicle Dealer's Financing license.
For Assistance -
If you have questions about this application or any other tax-related matter, please contact your
nearest Texas State Comptroller's office, or call (800) 252-1382 or (512) 463-4600. Our email
address is tax.help@cpa.state.tx.us, or see our website at Representa-
tives are available to help you with questions, by phone, Monday through Friday (except Federal
holidays), from 7:30 a.m. to 5:30 p.m.
General Instructions -
• Please do not separate pages.
• Write only in white areas.
• Completed and signed application should be mailed to:
Comptroller of Public Accounts
111 E. 17th St.
Austin, TX 78774-0100
Federal Privacy Act -
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.
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 phone numbers
listed on this form.
AP-169-1 (Rev.8-11/10)