Application cost $65

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Yes/No Questions
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The reason for this application is

New Business Registration

New Location of existing business

Move an Existing Business Location

1st Taxable Sale Date (between 14 days from now and 90 days from now)

Is the primary contact the same as the primary corporate officer?

Yes

Primary Contact Information

First Name

Last Name

Phone#

Cell#

Primary Corporate Officer Information

First Name

Middle Name

Last Name

Primary Officer Phone Number

Primary Officer Address

Address Line 1

Address Line 2

City

State/Province

Zip / Postal Code

Country

Officer Title

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 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.

Officer Social Security #

Re-enter Officer SS#

Driver’s License State

Driver’s License #

Organization Information

Organization Name

Please select any one of the following three types of identifying information you will provide:

Identifying Information #

Select Identifying Info Question 2

Identifying Question #2 Answer

Select Identifying Info Question 3 (Do not select the same question as the one above)

Identifying Question #3 Answer

Select Organization Type

State of business formation

Texas Secretary of State Number

Organization Address same as Primary Officer Address?

Yes

Texas Business Location Address same as Organization Address?

Yes

New Business/Location Name

Business Address(es)

New Location Address

Organization Address

Address Line 1

Address Line 2

City

State / Province

Zip / Postal Code

Country

Texas Business Location Information

Address Line 1

Address Line 2

City

Zip / Postal Code

Texas Business Location Phone #

County

Is this location located within City Limits?

Yes

Business Activities

Business In Texas

In Texas

Out of State

Home Based Business

Home

Somewhere Else

Which Bank does your organization use?

Type of Bank Account

Business

Personal

Please describe your business activities

Has this entity been involved in a merger within the last seven years?

Yes

Do you maintain a distribution center, warehouse, office other than your place of business or other physical location where business is conducted in Texas

Yes

Do you have any representative, agent, sales person, canvasser, or solicitor who operates under your authority to conduct business in Texas, including selling, delivering or taking orders for taxable items?

Yes

Do you derive receipts from the sale, lease, or rental of tangible personal property situated in Texas? This includes home-based businesses located in Texas. (Do you sell or rent stuff?)

Yes

Do you provide onsite taxable services at customer locations in Texas?

Yes

Do you sell at temporary locations (fairs, trade shows, etc.) in Texas?

Yes

Do you have a franchisee or licensee operating under your name who is required to collect the sales and use tax in Texas?

Yes

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

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

Do you have Internet or mail order sales?

Yes

Do you own or operate a marketplace (electronic or physical) where you make sales on behalf of third party sellers? This does not apply to you if you sell your own items on someone else’s marketplace, such as eBay, Amazon, or Etsy.

Yes

Will your anticipated monthly taxable sales exceed $8000 per month?

Yes

Will you sell alcoholic beverages?

Yes

Will you sell memberships to a health spa?

Yes

Will you sell electronic cigarettes in person, over the internet, by mail or telephone?

Yes

Will you sell fireworks?

Yes

Will you sell pre-paid wireless telecommunications service?

Yes

Do you sell, lease, or rent off-road, heavy-duty (50 horsepower or more) diesel powered equipment?

Yes

Will you provide telecommunication services under Health & Safety code, Chapter 771?

Yes

Will This location sell cigarettes, cigars or tobacco products?

Yes

Will This location be conducting Internet and/or mail order sales?

Yes

Will This location sell at other locations you do not own? (Flea market, trade show, convention)?

Yes

Will you have people selling/taking orders in other locations and ringing those sales at this location?

Yes

Will you ship to customer’s location?

Yes

Will you provide taxable services at your customer’s locations?

Yes

What is your business NAISC Code?

Business NAISC Code is a code used by the government to classify your business type. You can search for your code here by typing a single word and selecting the closest description (Ex: “Restaurant”) : NAISC Code Lookup

Comments or other notes

Did you purchase an existing business or business assets?

Yes

Previous Owner’s Information

Previous Business Taxpayer Number (11 Digits, No Hyphens)

Previous Business Federal Employer ID #

Previous Business Trade Name

Previous Owner’s Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Previous Owner’s Phone #

Previous Business Purchase price in USD whole dollars:

Previous Business Purchase Date

Indicate Which items were purchased

Inventory

Real Estate

Corporate Stock

Equipment

Other items purchased – if applicable (Please explain)

Payment Item

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Primary Contact Information

Primary Corporate Officer Information

Organization Information

Business Address(es)

New Location Address

Business Activities

Previous Owner’s Information