
Profit Corporation (CT, CF) General Partnership (PB, PI) Business Trust (TF)
Nonprofit Corporation (CN, CM) Professional Corporation (AP, AF) Trust (TR)
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)
TAXPAYER INFORMATION
1. Name of sole owner (first name, middle initial and last name)
2. Social Security number (SSN)
5. Legal name of partnership, company, corporation, association, trust or other
SOLE OWNER IDENTIFICATION
NON-SOLE OWNER IDENTIFICATION
11. 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. ....................................................................................................................................
Texas Certificate of Authority number
12. 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, Texas Certificate of Authority number and date.
Charter numberState/country of inc.
13. If the business is a corporate entity, have you been involved in a merger within the last seven years? YES NO
14. If the business is a limited partnership or registered limited liability
partnership, enter the home state and registered identification number. ......................................................
NumberState
If "YES," attach a
detailed explanation.
month day yearmonth day year
BUSINESS INFORMATION
9. Mailing address
15. Enter information for all partners - Attach additional sheets, if necessary.
*If a general partner is an individual, enter the SSN of the individual.
6. Taxpayer number for reporting any Texas tax OR Texas Identification Number if you now have or have ever had one.
7. Federal Employer Identification Number (FEIN) assigned by the Internal Revenue Service ................................
8. Check here if you do not have an FEIN. ...............................................................................................................
3
If you are a SOLE OWNER, skip to Item 16.
Check here if you DO NOT
have a SSN.
--- All sole owners skip to Item 9. ---
File number
10. Name of person to contact regarding day to day business operations Daytime phone
Street number, P.O. Box or rural route and box number
City State/province ZIP code County (or country, if outside the U.S.)
( )
Please submit a copy of the trust
agreement with this application.
4. Business organization type
Name Title Phone (area code and number)
Home address City State ZIP code
*
SSN or FEIN Driver license number State County (or country, if outside the U.S.)
Position held: Partner Officer Director Corporate stockholder Record keeper
Date of birth
month day year
( )
Name Title Phone (area code and number)
Home address City State ZIP code
*
SSN or FEIN Driver license number State County (or country, if outside the U.S.)
Position held: Partner Officer Director Corporate stockholder Record keeper
Date of birth
month day year
( )
3. Taxpayer number for reporting any Texas tax OR Texas Identification
Number if you now have or
have ever had one.
1
month day year
AP-169-2
(Rev.8-11/10)
Texas Application for Motor Vehicle
Seller-Financed Sales Tax Permit
• Please read instructions. • Type or print. • Do NOT write in shaded areas.
Page 1
Percent of
ownership ______ %
Percent of
ownership ______ %