Form 05-141 - Texas Franchise No Tax Due Information Report
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104
Do Not Staple or Paper Clip
05-141
b.
(Rev.10-99/8)
Please do not write in the space above
TEXAS FRANCHISE NO TAX DUE
If you are filing this report as a final report and need a Certificate
INFORMATION REPORT
of Account Status for dissolution or to otherwise terminate the
- SHORT FORM -
existence of this corporation, please check this box.
PLEASE READ
13108
h.
PIR
F M
e.
Franchise
a.
d. REPORT YEAR
INSTRUCTIONS
16108
ON BACK.
Bank
c. Taxpayer number
f. Due date
g. Privilege period covered by this report
i.
through
Taxpayer name and mailing address
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
j.
111 E. 17th STREET
AUSTIN, TX 78774-0100
Check this box
if your mailing
address has
changed.
YOU ARE ELIGIBLE TO USE THIS FORM TO FILE YOUR NO TAX DUE INFORMATION REPORT
IF YOUR CORPORATION FOR THE ACCOUNTING PERIOD ON WHICH THIS REPORT IS BASED,
had gross receipts of less than $150,000,
OR
your corporation's total taxable capital is less than $40,000 AND earned surplus (including officer and director compensation, if applicable) is less than
$2,222.00.
If you are eligible to use this form, complete, sign, and return it by the due date with your Franchise Tax Public Information Report, Form 05-102. If you
are filing this report as your final franchise tax report, a Public Information Report is not required.
MONTH
DAY
MONTH
DAY
YEAR
YEAR
1. Enter the beginning and ending
Beginning
Ending
dates of your accounting period
date
date
$
.00
2. Gross receipts for taxable capital everywhere
$
.00
3. Gross receipts for taxable earned surplus everywhere
Print or type name
(Officer, director or duly authorized agent)
Daytime phone
(Area code & number)
Officer, director or duly authorized agent
Date
TO FILE YOUR NO TAX DUE INFORMATION REPORT, DETACH AND RETURN THE TOP PORTION ONLY.
Keep a copy for your records.
TO REQUEST AN EXTENSION TO FILE A RETURN, DETACH AND RETURN THE EXTENSION FORM BELOW
05-141
EXTENSION REQUEST FOR TEXAS
(10-99/8)
CORPORATION FRANCHISE TAX REPORT
b.
13850
13860
a.
Franchise Extension
Final Franchise Extension
Please do not write in the space above
16850
16860
Bank Extension
Final Bank Extension
YES
1
1. Taxpayer number
2. Report year
c.
3. Due date
5. Will you begin using your temporary credit for the report
year for which you are requesting this extension?
NO
2
4. File number
d.
e.
6. Extension payment
PM
FM
due and payable
Taxpayer name and mailing address
,
,
.
f.
Make the amount in Item 6 payable to STATE COMPTROLLER
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th STREET, AUSTIN, TX 78774-0100
a
Print or type name
(Officer, director or duly authorized agent)
(Area code & number)
Daytime phone
Date
Signature of officer, director or duly authorized agent
For an extension to file your report, return this request
555
Check this box if your address has changed.
form even if you pay by Electronic Fund Transfer.
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