Form Ap-102 - Texas Questionnaire For Hotel Occupancy Tax Page 3
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4AP-102-3
TEXAS QUESTIONNAIRE
(Rev.8-08/19)
FOR
HOTEL OCCUPANCY TAX
• TYPE OR PRINT
Page 1
• Do NOT write in shaded areas.
SOLE OWNER IDENTIFICATION
1. Name of sole owner (First, middle initial and last name)
2. Social Security Number (SSN)
3. Taxpayer number for reporting any Texas tax OR Texas identification number if
Check here if you DO NOT
have a SSN.
you now have or have ever had one.
NON-SOLE OWNER IDENTIFICATION
--- ALL SOLE OWNERS SKIP TO ITEM 9. ---
4. Business Organization Type
Profit Corporation (CT, CF)
General Partnership (PB, PI)
Business Trust (TF)
Please submit a copy of the trust
Nonprofit Corporation (CN, CM)
Professional Association (AP, AF)
Trust (TR)
agreement with this application.
Limited Liability Company (CL, CI)
Business Association (AB, AC)
Real Estate Investment Trust (TH, TI)
Limited Partnership (PL, PF)
Joint Venture (PV, PW)
Joint Stock Company (ST, SF)
Professional Corporation (CP, CU)
Holding Company (HF)
Estate (ES)
Other (explain)
5. Legal name of corporation, partnership, limited liability company, association or other legal entity
6. Taxpayer number for reporting any Texas tax OR Texas identification number if you now have or have ever had one. .....
1
7. Federal employer identification number (FEIN) assigned by the Internal Revenue Service ........................................
3
8.
Check here if you do not have an FEIN. .....................................................................................................................
9. Mailing address
Street number, P.O. Box, or rural route and box number
City
State/province
ZIP Code
County (or country, if outside the U.S.)
10. Name of person to contact regarding day to day business operations
Daytime phone
(
)
11. Principal type of business
Agriculture
Transportation
Retail Trade
Real Estate
Mining
Communications
Finance
Services
Construction
Utilities
Insurance
Public Administration
Manufacturing
Wholesale Trade
Other (explain)
12. Primary business activities and type of products or services to be sold
NAICS
If you are a SOLE OWNER, skip to Item 18.
File number
Month
Day
Year
13. If the business is a Texas profit corporation, nonprofit corporation, professional corporation or
limited liability company, enter the file number issued by the Texas Secretary of State and date....
14. If the business is a non-Texas profit corporation, nonprofit corporation, professional corporation or limited liability company, enter the state or country
of incorporation, charter number and date, and if the corporation has a Texas Certificate of Authority, enter the file number and date.
State/country of inc.
Texas Certificate of Authority number
Charter number
Month
Day
Year
Month
Day
Year
If "YES," attach a
15. If the business is a corporation, has the business been involved in a merger within the last seven years? .....
YES
NO
detailed explanation.
State
Number
16. If the business is a limited partnership or registered limited liability
partnership, enter the home state and registered identification number. ............................................................
17. List general partners, principal members/officers, managing directors or managers
(Attach additional sheets, if necessary.)
Name
Title
Phone (Area code and number)
(
)
Home address
City
State
ZIP Code
SSN or FEIN
County (or country, if outside the U.S.)
Percent of
ownership _______ %
Position held
Partner
Officer
Director
Corporate Stockholder
Record keeper
Name
Title
Phone (Area code and number)
(
)
Home address
City
State
ZIP Code
SSN or FEIN
County (or country, if outside the U.S.)
Percent of
ownership _______ %
Position held
Partner
Officer
Director
Corporate Stockholder
Record keeper
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