Free Texas Business Questionnaire - Texas

AP-224 (12-07)

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CLEAR FIELDS

TEXAS BUSINESS QUESTIONNAIRE
for partnerships, associations, trusts, joint ventures, joint stock companies and railroad companies
ACID

Texas taxpayer number File number
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.

1. Entity name 3. Mailing address (if different than above address)
City State

2. Federal employer identification number (FEIN)

ZIP code

4. Contact person

5. Contact phone (Area code and number)

6. Entity type Limited partnership (PL) General partnership (PB, PI) Business association (AB) Other
month day year

Other association (AR) Trust (TR) Real estate investment trust (TH)

Joint venture (PV) Joint stock company (ST) Railroad company (CW)

7. In what state or country was this entity formed?

Formation date

8. If this entity is registered with the Texas Secretary of State, please provide the file number. 9. Please provide the entity's North American Industry Classification System (NAICS) code.
(NAICS codes are available at www.census.gov/epcd/www/naics.html.)

10. Please list any tax permits or licenses issued to this entity by the Texas Comptroller.
Type of permit or license Taxpayer number for permit or license

If included in a combined group Texas Franchise Tax Report, provide the reporting entity's Texas taxpayer number. (continued on back)

Form AP-224 (Back)(12-07)

11. Please complete this information for all members, all general partners and each limited partner with a 10% or more interest in the partnership. (For limited partnerships, general partnerships, joint ventures and joint stock companies.)
(Attach additional sheets if necessary.)
Name Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

Name

Type of owner

MEMBER
Mailing address City Printed name

GENERAL PARTNER

LIMITED PARTNER
State

FEIN

Percentage of ownership

%
ZIP code Title Begin date in Partnership

I declare that the information in this document and any attachment is true and correct to the best of my knowledge and belief.
Print preparer's name Title Date Phone (Area code and number)

Information about franchise tax is available online at www.window.state.tx.us/taxinfo/franchise/. For taxpayer assistance, call (800) 252-1381, toll free nationwide. The local number in Austin is (512) 463-4600. Our e-mail address is [email protected].

Please return this completed questionnaire to: Texas Comptroller of Public Accounts P.O. Box 149348 Austin, TX 78714-9348

EXEMPTIONS: An entity may qualify for exemption from filing franchise tax reports. Please see Guidelines to Texas Tax Exemptions on our Web site at www.window.state.tx.us/taxinfo/exempt.