AP-192
Comptroller of Public Accounts
PRINT FORM
CLEAR FORM
(Rev.8-11/5)
Application for Seller Training Certifi cation
1. Legal name of owner (sole owner or partners, fi rst name, middle initial and last name; corporation or other name)
2. Mailing address (street and number, P.O. Box or rural route and box number)
City
State
ZIP code
County
3. If you are a sole owner, enter your home address if it is different from above. (street and number)
City
State
ZIP code
3a. Enter the daytime phone number of the person primarily
(
)
responsible for the seller training program .......................................................................................
4. Enter your Federal Employer Identifi cation Number (FEIN), if any,
assigned by the United States Internal Revenue Service. ...........................................................................
5. Enter your taxpayer number for reporting any Texas tax if you now have or have ever had one. .........
6. Enter your Texas vendor identifi cation number (VIN) if you now have or have ever had one. ...............
Are you current on your state taxes? ...............
YES
NO
7. Indicate business type:
Sole owner
Partnership
Texas corporation
Limited partnership
Foreign corporation
Other (explain) ________________________________________________________________________________
Charter number
Date (month, day, year)
8. If a Texas Corporation, enter the charter number and date ..........................................
9. If a Foreign Corporation, enter home state, charter number, Texas Certifi cate of Authority number, and date.
Home state
Charter number
Texas Certifi cate of Authority number
Date (month, day, year)
Home state
Identifi cation number
10. If a limited partnership, enter the home state and identifi cation number. ..................................
If you have more than one business (i.e., more than one taxpayer number or FEIN), please attach additional sheets to provide the information
requested in Items 4 through 10 for your other business(es).
11. List all general partners or principal offi cers of your business. If you are a sole owner, skip Item 11. (Attach additional sheets, if necessary.)
Name (fi rst, middle, last)
FEIN
Title
Phone (area code and number)
(
)
Home address (street and number, city, state, ZIP code)
Name (fi rst, middle, last)
FEIN
Title
Phone (area code and number)
(
)
Home address (street and number, city, state, ZIP code)
Name (fi rst, middle, last)
FEIN
Title
Phone (area code and number)
(
)
Home address (street and number, city, state, ZIP code)
(continued on back)