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                                                                                                                                       *AP20110W102126*PRINT FORM CLEAR FIELDS
                                                                                                                                       *AP20110W102126*      Instructions in English
                                                                                                                                         * A  P      2 0 1 1    0 W            1 0    2 1   2 6      *
                            Texas Application
                            •  Sales Tax Permit   •   Use Tax Permit   •   9-1-1 Emergency Communications
                            •  Prepaid Wireless 9-1-1 Emergency Service Fee   
                            •  Off-Road, Heavy-Duty Diesel Powered Equipment Surcharge

                       GLENN HEGAR                           TEXAS COMPTR OLLER OF PUBLIC A CCOUNTS

          If you are a sole proprietor, start on the next page, Item 10. 

          1.  Business Organization Type
            Profit Corporation (CT, CF)                              General Partnership (PB, PI)                                                    Business Trust (TF)
            Nonprofit Corporation (CN, CM)                           Professional Association (AP, AF)                                               Trust (TR) Submit a copy of the trust 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) 
  2.  Legal name of corporation, partnership, limited liability company, association or other legal entity

  3.  Federal Employer Identification Number (FEIN) ........                                                4.                         Check here if you DO NOT have an FEIN.
            (assigned by the Internal Revenue Service for reporting federal income taxes)
                                                                                                                                                     3
  5.  List any current or past 11-digit Texas Taxpayer Number for reporting  
           any taxes or fees to the Texas Comptroller of Public Accounts. ...........................................................................
          6.  Have you ever received a Texas vendor or payee number 
(           (Texas Identification Number/TIN)? ........................................  YES       NO     If "YES," enter number ...
                                                                                                             State/country                                  Month   Day                 Year
 7.  Enter the home state or country where this entity was formed and the formation date ............   
 TION                                                                                                        File number
           Enter the home state registration/file number ...........................................................................   
                                                                                                             File number
  INFORMA  Non-Texas entities: enter the file number if registered with the Texas Secretary of State ........
          8.  If the business is a corporation, has it been  
 ENTITY    involved in a merger within the last seven years? ......................      YES       NO     If "YES," attach a detailed explanation. (See instructions.)

  9.  List all general partners, officers or managing members (Attach additional sheets, if necessary.)
           Name                                                                              Phone (Area code and number)

            Home address                                             City                                                                  State       ZIP code

            SSN                                FEIN                                          Percent of                                County (or country, if outside the U.S.)
                                                                                             ownership         %

            Position held:  General Partner         Officer/Director                     Managing Member  Other
           Name                                                                              Phone (Area code and number)

            Home address                                             City                                                                  State       ZIP code

            SSN                                FEIN                                          Percent of                                County (or country, if outside the U.S.)
            
                                                                                             ownership         %

            Position held:  General Partner         Officer/Director                     Managing Member  Other 

           If you are not a sole proprietor, go to Item 15.

AP-201-1 (Rev.10-21/26)

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AP-201-2
(Rev.10-21/26) *AP20120W102126*
Texas Application for *AP20120W102126*
* A P 2 0 1 2 0 W 1 0 2 1 2 6 *
Sales Tax Permit and/or Use Tax Permit Page 2
You have certain rights under Chapters 552 and 559, Government Code,
to review, request and correct information we have on file about you.
• TYPE OR PRINT • Do NOT write in shaded areas. Contact us at the address or numbers listed on this form.

If you are a sole proprietor, start here.
(If you are NOT a sole proprietor, skip to Item 15.)

10. Legal name of sole proprietor (first, middle initial, last)

ORS
Check this box if you DO NOT have
11. Social Security number (SSN) ............. a Social Security number (SSN).

12. List any current or past 11-digit Texas Taxpayer Number for reporting
any taxes or fees to the Texas Comptroller of Public Accounts. ...........................................................................
SOLE PROPRIET
13. Have you ever received a Texas vendor or payee
number (Texas Identification Number/TIN)? .......... YES NO If "YES," enter number ..............

14. Federal Employer Identification Number (FEIN), if you have one, assigned by
the Internal Revenue Service for reporting federal income taxes. .............................................................................

All applicants continue here.
15. Mailing address of taxpaying entity - This address is for an individual or the person responsible for making decisions regarding address changes and
banking changes and who is responsible for overall account management and account security. Enter complete address including suite, apartment
or personal mailbox number. Indicate whether the address is on a street, avenue, parkway, drive, etc., and whether there is a directional indicator
(e.g., North Lamar Blvd.).
Street number and name, P.O. Box or rural route and box number Suite/Apt. #

City State/province ZIP code County (or country, if outside the U.S.)

16. Daytime phone number (Area code and number) ..........................................................................................

17. FAX number (Area code and number) ............................................................................................................

18. Mobile/cellular phone number (Area code and number) .................................................................................

19. Business website address(es) ...........

APPLICANTS 20. Contact person for business records
ALL Name Email address

Street address (if different from the address in Item 15) Phone number (Area code, number and extension)

21. Alternate contact person for business records
Name Email address

Street address (if different from the address in Item 15) Phone number (Area code, number and extension)

22. Name of bank or other financial institution (Attach additional sheets, if necessary.)
Business Personal
23. If you will be accepting payments by credit card and/or through Merchant identification number (MID)
an online payment processing company, enter the name of the processor. assigned by processor

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AP-201-3
(Rev.10-21/26) *AP20130W102126*
Texas Application for *AP20130W102126*
* A P 2 0 1 3 0 W 1 0 2 1 2 6 *
Sales Tax Permit and/or Use Tax Permit Page 3
Legal name (Same as Item 2 OR Item 10)

Complete all information in this section for each PLACE OF BUSINESS in Texas.
If you do not have a physical PLACE OF BUSINESS in Texas, skip to Item 30.
24. PLACE OF BUSINESS name and address - This address is for a physical location operated for the purpose of selling taxable items where sales per-
sonnel receive three or more orders for taxable items during the calendar year. (Attach additional sheets for each PLACE OF BUSINESS in Texas.)
Business name (DBA)

Street address (include St, Av, Ct, etc.) or rural route and box number (Do NOT use P.O. Box address--must provide physical location address.) Suite/Apt. number

City State ZIP code Business location phone
T X
If this PLACE OF BUSINESS address is difficult to find or includes a rural route and box number, provide the physical location or directions.

See instructions prior to answering Items 25 and 26.
25. Within what city limits is this PLACE OF BUSINESS?
Check this box if this PLACE OF BUSINESS is
NOT located within the limits of a city in Texas.
26. Within what county is this PLACE OF BUSINESS?

27. Is this PLACE OF BUSINESS operated from your home? .......................................................................................................... YES NO
28. Do you ship or deliver items to cities or counties in Texas other than where you have your place of business? ......................... YES NO
29. Enter the name and address of the owner or landlord of this PLACE OF BUSINESS.
TION

30. Do you maintain a distribution center, warehouse, office or any other physical location where business is
conducted in Texas? ..................................................................................................................................................................... YES NO
If "YES", list the location of all distribution points, warehouses or offices in Texas. (Do not include locations that are considered a PLACE OF
BUSINESS.) (Attach additional sheets, if necessary.)
Street City State ZIP code
T X
T X
31. Do you have any representative, agent, salesperson, canvasser or solicitor who operates under your authority to conduct business in Texas,
PLACE OF BUSINESS INFORMA including selling, delivering or taking orders for taxable items? ................................................................................................... YES NO
If "YES", list names and addresses of all representatives, agents, salespersons, canvassers or solicitors in Texas.
(Attach additional sheets, if necessary)
Name (first, middle initial, last)

Street address City State ZIP code
T X
32. Do you own, use, sell, lease or rent tangible personal property located in Texas? (This includes storing machinery
and equipment.) ............................................................................................................................................................................ YES NO
33. Do you provide onsite taxable services at customer locations in Texas? ..................................................................................... YES NO
34. Do you sell at temporary locations (fairs, trade shows, etc.) in Texas? ....................................................................................... YES NO
If "YES", list the locations or event names and when you will be at location or event. (Attach additional sheets, if necessary)
Location and/or event name (e.g., Canton First Mondays, State Fair in Dallas, etc.) Period in attendance (e.g., first weekend of each month, late October, etc.)

35. Do you have a franchisee or licensee operating under your name who is required to collect sales and use taxes in Texas? ..... YES NO
36. Do you have a substantial ownership in, or are owned in whole or substantial part, by a person who has a business location in Texas and
sells the same or similar line of products under a business name that is similar to your business name? .................................. YES NO
37. Do you have a substantial ownership in, or are owned in whole or substantial part, by a person who maintains a location in Texas to
advertise, promote or facilitate sales, deliveries or returns of your products? .............................................................................. YES NO

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AP-201-4
(Rev.10-21/26) *AP20140W102126*
Texas Application for *AP20140W102126*
* A P 2 0 1 4 0 W 1 0 2 1 2 6 *
Sales Tax Permit and/or Use Tax Permit Page 4
Legal name (Same as Item 2 OR Item 10)

38. Do you have internet or mail order sales? .................................................................................................................................... YES NO
39. Are you a Marketplace Provider? ................................................................................................................................................. YES NO
40. Will your anticipated monthly taxable sales exceed $8,000 per month? ...................................................................................... YES NO
41. Will you sell alcoholic beverages? ............................................................................................................................................... YES NO
If "YES", which permit will you hold? ........................................................................................ MIXED BEVERAGE BEER AND WINE
42. Is this permit for a winery located outside of Texas that will ship wine to consumers in Texas? ................................................ YES NO
If "YES," you must obtain an Out-of-State Winery Direct Shipper's Permit from the Texas Alcoholic Beverage Commission. (See instructions.)
Enter the Texas Alcoholic Beverage Commission license number(s) for this address.

TION
43. Will you sell memberships to a health spa? ................................................................................................................................. YES NO
If "YES," you must attach a copy of your Health Spa certificate of registration issued by the Texas Secretary of State.
44. Will you sell electronic cigarettes or any other device that simulates smoking by using a mechanical heating element,
battery or electronic circuit to deliver nicotine or other substances to the individual inhaling from the device? .......................... YES NO
TED INFORMA 44a. If "YES," are you planning to sell electronic cigarettes over the internet, by mail order or by telephone? .......................... YES NO
44b. If "YES" in 44a above, enter your email address or URL
RELA
45. Will you sell fireworks? ................................................................................................................................................................ YES NO

46. If you have answered “NO” to questions 30-37, 39 and 43, do you elect to use the optional Single Local Tax (SLT) rate? ....... YES NO
Month Day Year
47. Enter the date that you will begin making sales? .................................................................................................................
48. Will you operate this business all year? ....................................................................................................................................... YES NO
If "NO," list the months you will operate __________________________________________________________________________________
NAICS code
49. Enter your North American Industry Classification System (NAICS) code. (See specific instructions.) .......................................
If you don't know your NAICS code, indicate your principal type of business.
Agriculture Transportation Retail Trade Real Estate Direct Sales / Marketing
Mining Finance Services Communications (See Item 38.)
Construction Utilities Insurance Public Administration
Manufacturing Wholesale Trade Health Spa Other (explain)
Primary business activity and type of products or services to be sold.

50. Will you be required to report interest earned on sales tax? (See specific instructions.) ............................................................. YES NO
51. Will you sell, lease or rent off-road, heavy-duty (50 horsepower or more) diesel-powered equipment? ................................... YES NO
52. If you will be providing telecommunications services, indicate the 9-1-1 emergency communications fees you collect under Health & Safety Code,
Chapter 771.
1 FEES 9-1-1 Wireless Emergency Service Fee (91) 9-1-1 Emergency Service Fee (92) 9-1-1 Equalization Surcharge (93)
91
53. Will you sell prepaid wireless telecommunications services? ....................................................................................................... YES NO
If you purchased an existing business or business assets, complete Item 54; if not, skip to Item 55. Previous owner’s Texas taxpayer
54. Previous owner's trade name (DBA name) number (if available)

Previous owner’s legal name, address and phone number, if available
Name Title Phone (Area code and number)

Street address City State ZIP code

PREVIOUS OWNER Check each of the following items you purchased. Inventory Corporate stock Equipment Real estate Other assets
Purchase price of this business or assets and the date of purchase Month Day Year
Purchase price $ Date of purchase

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        AP-201-5
        (Rev.10-21/26)                                                                  *AP20150W102126*
                       Texas Application for                                            *AP20150W102126*
                                                                                          * A                                P 2 0       1 5 0 W  1   0 2      1   2 6                                   *
       Sales Tax Permit and/or Use Tax Permit                                                                                                                      Page 5
Legal name (Same as Item 2 OR Item 10)  

        APPLICANTS MUST BE AT LEAST 18 YEARS OLD. Parents or legal guardians can obtain a sales tax permit on behalf of a minor.
                                                                                                                                           Date of signature(s)
 55.  The sole owner, ALL general partners, managing members, officers, directors or an authorized representative                           Month Day          Year
         must sign. The representative must submit a written power of attorney. (Attach additional sheets, if necessary.)
         I (We) declare that the information in this document and any attachments is true and correct to the best of my (our) knowledge and belief.
       Type or print name and title of sole owner, partner, officer, director or member
                                                                                        Sole owner, partner, officer, director or member 
       Driver license number/state                        Are you at least 18 yrs of age
                                                          or older?
                                                          YES              NO
       Type or print name and title of partner, officer, director or member
 TURES                                                                                  Partner, officer, director or member 
       Driver license number/state                        Are you at least 18 yrs of age
 SIGNA                                                    or older?
                                                          YES              NO
       Type or print name and title of partner, officer, director or member
                                                                                        Partner, officer, director or member 
       Driver license number/state                        Are you at least 18 yrs of age
                                                          or older?
                                                          YES              NO
       WARNING. You may be required to obtain an additional permit or license from the State of Texas or from a local governmental entity to 
       conduct business. A listing of links relating to acquiring licenses, permits, and registrations from the State of Texas is available online 
       at https://www.texas.gov/. You may also want to contact the municipality and county in which you will conduct business to determine  
       any local governmental requirements.
 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 idividual 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.

    Field office or section number      Employee name                                   USERID                                                 Date

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