Form Ap-171 - Texas Tax Questionnaire

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TEXAS TAX QUESTIONNAIRE
CEMENT PRODUCTION TAX
SULPHUR PRODUCTION TAX
SUSAN COMBS • TEXAS COMPTROLLER OF PUBLIC ACCOUNTS
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 do business in Texas AND / OR
you will be responsible for collecting and/or paying the Cement Production Tax or the Sulphur Production Tax.
SPECIFIC INFORMATION -
CEMENT PRODUCTION TAX:
A tax is imposed on each individual, partnership, corporation or other organization who manufactures or produces cement in, or imports
cement into, the state; and distributes or sells the cement in intrastate commerce or uses the cement in the state.
The tax is computed on the amount of cement distributed, sold or used by the business for the first time in intrastate commerce.
The tax applies to only one distribution, sale or use of cement.
The rate of the tax imposed by the law is $0.0275 for each 100 pounds or fraction of 100 pounds of taxable cement.
The tax payment is due on the 25th day of each month, and the amount of the tax is computed on the amount of business done during the
preceding month by the business on which the tax is imposed.
The tax imposed by the law is not computed on an interstate distribution or sale of cement.
SULPHUR PRODUCTION TAX:
A tax is imposed on each individual, partnership, corporation or other organization who owns, controls, manages, leases or operates a
sulphur mine, well or shaft or who produces sulphur by any method, system or manner.
The rate of tax imposed by law is $1.03 a long ton (2,240 lbs.) or fraction of a long ton of sulphur produced in this state.
The quarterly tax report and payment are due on or before the last day of the month following each calendar quarter.
The amount of tax due is computed on the amount of sulphur produced in this state during the preceding calendar quarter.
FOR ASSISTANCE -
If you have any questions about this application, filing tax returns or any other tax-related matter, contact theTexas Comptroller's Office at 1-
800 531-5441, Extension 3-4276 toll free nationwide. The Austin number is 512-463-4276
Complete this application and mail to:
COMPTROLLER OF PUBLIC ACCOUNTS
Austin, Texas
78774-0100
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 (FEI), Texas Taxpayer or Texas Vendor Identification
Numbers.
FEDERAL PRIVACY ACT - Disclosure of your social security number is required and authorized under law, for the purpose of tax administra-
tion 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 toll-free number listed on this form.
SPECIFIC INSTRUCTIONS
Item 1 - SOLE OWNER - Enter first name, middle initial and last name.
PARTNERSHIP - Enter the legal name of the partnership.
CORPORATION - Enter the legal name exactly as it is registered with the Texas Secretary of State.
OTHER ORGANIZATION - Enter the title of the organization.
Item 2 - Enter the complete mailing address where you want to receive mail from the Comptroller of Public Accounts.
NOTE: If you want to receive mail for each tax at a different address, attach a letter with the other address(es).
Item 5 - Enter the Federal Employer's Identification (FEI) Number assigned to your business by the United States Internal Revenue Service.
Item 7 - If you have both a Texas Taxpayer Number and a Texas Vendor Identification Number, enter only the first eleven digits of the Vendor
Identification Number.
Item 8 - Enter the date (month, day, year) of the first cement /sulphur production.
Item 9 - If you check "other," identify the type of organization. Examples: social club, independent school district, family trust.
Item 13 - PARTNERSHIP - Enter the information for ALL partners. If a partner is a corporation, enter the Federal Employer's Identification
(FEI) Number of the corporation.
CORPORATION OR OTHER ORGANIZATION - Enter the information for the principal officers (president, vice president, secretary
and treasurer).
AP-171-1 (Rev.1-07/5)

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