Free 01-149 Direct Pay Tax Return Credits Schedule - Texas

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01-149 (Rev.4-08/2)

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PRINT FORM

CLEAR FIELDS

b.

a.

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Page _____ of _____
Do not staple or paper clip. Do not write in shaded areas.

TEXAS DIRECT PAY TAX RETURN
CREDITS SCHEDULE
g.

c. Taxpayer number

d. Filing period

e.

f. Due date

Taxpayer name and mailing address (Make corrections next to any incorrect information.)
Do not staple or paper clip. Do not write in shaded areas.

h.

i.

PLEASE PRINT YOUR NUMERALS LIKE THIS

Examples of these credits include: -- mistakenly paying tax to a vendor on exempt manufacturing equipment. -- accrued tax on a non-taxable purchase in error. -- accrued AND paid tax on a taxable purchase. Local Tax Local tax (city, county, MTA, CTD and SPD taxes) can be included in the credit examples above only if the purchaser reported to the same local jurisdictions as the vendor. If the local tax jurisdictions do not match, or if the jurisdiction for which the local tax was collected is not known, a refund claim must be filed for the local tax. See Comptroller's Web site at www.window.state.tx.us/taxinfo/taxpubs/tx94_156.html for refund instructions. If you answered "YES," to Item j of your Direct Payment Return, Form 01-119, you must complete Items 1 and 2, below.
NOTE: The data entered here is for information purposes only. It is not used in calculating tax due on this report

1. Amount of tax credit being taken on this return (Enter dollars and cents.)

2. Earliest date of the tax paid in error for this credit (mm-dd-yy)

I declare that the information in this document and any attachments is true and correct to the best of my knowledge.
Taxpayer or duly authorized agent

Date

Daytime phone (Area code & number)

If you have any questions, you may contact the Texas State Comptroller's field office in your area or call (800) 252-5555, toll free, nationwide. The Austin number is (512) 463-4600.

Mail to: COMPTROLLER OF PUBLIC ACCOUNTS P.O. Box 149354 Austin, TX 78714-9354

You have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we have on file about you. Contact us at the address or toll-free number listed on this form.