
*AP20920W121812*
*AP20920W121812*
* A P 2 0 9 2 0 W 1 2 1 8 1 2 *
1. ORGANIZATION NAME
(Legal name as provided in Articles of Incorporation, or, if unincorporated, the governing document.)
2. ORGANIZATION 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.)
3. Texas taxpayer number (if applicable) ...............................................................................................................
4. a) Enter ling information issued by the Texas Secretary of State:
Month Day Year
File number ............................................. File date .......................................
11. Contact information of the person submitting this application
Name Email address
Organization name Daytime phone (Area code and number) Extension
Address City State ZIP code
10. Physical address (no P.O. Box) where worship services are conducted
We will notify you by email when the exemption has been added to let you know where the exemption can be veried online. If an email address is not
provided, indicate where our response should be mailed: organization's mailing address or mailing address of the submitter.
Option A (Member of a common denomination or convention of churches):
Name of parent Parent organization
organization website
Option B (Independent or nondenominational church):
OR
b)
of families represented in the average attendance
7. Make only one selection as the organization's primary purpose:
Religious worship services Ministry Youth group Missionary Bible study Evangelistic association
8. Date of rst worship service ................................................................................................................................................
Time Frequency
9. Time and frequency of worship services ................................................
5. Federal Employer Identication Number (FEIN) (Required if applying for exemption on the basis of a federal exemption) .......
6. Average attendance
If average attendance is less than 50, indicate the number
at worship service ................ ...................
Check this box if this organization is not registered with the Texas Secretary of State.
AP-209-2
(Rev.12-18/12)
Texas Application for Exemption
– Religious Organizations
• Remove all staples • Type or print. • Do NOT write in shaded areas.
SECTION A
SECTION B
Provide the following supporting information as it applies to the appropriate option below:
• If your organization is a church that is a member of a common denomination or convention of churches, and the parent organization either has a
501(c)(3) federal group exemption, or has previously obtained a religious exemption in Texas for the churches under its jurisdiction, your church
can obtain exemption based on its aliation with the parent organization. Attach a letter from the parent organization stating that your church is a
recognized subordinate, or provide the website of the parent organization where your church's aliation can be veried.
The following must be included with your application. Information may be in the form of a bulletin, brochure, written statement or website:
• Your organization's statement of faith;
• The regular order of what takes place during worship services (for example, invocation, sermon, hymns, closing prayer);
• Evidence that services are open to the public and how they are advertised to the public;
• A description of the facility where the worship services are regularly conducted (pictures are accepted but not required and will not be returned).
• Special note to unincorporated entities: Include your organization's governing documents, such as the bylaws or constitution.
• Special note to non-Texas organizations: Include a le-stamped copy of your organization's formation documents AND a current Certicate
of Existence from the Secretary of State or equivalent ocer in your home state.
If your church has its own 501(c)(3) federal exemption, provide a copy of the IRS determination letter along with the information in option A or B so
that we may update our records.
Applications received without supporting documentation will be returned.