Free 05-359 Request for Certificate of Account Status to Terminate a Taxable Entity's Existence in Texas - Texas


File Size: 224.9 kB
Pages: 1
Date: July 29, 2008
File Format: PDF
State: Texas
Category: Tax Forms
Author: Steve Mittel
Word Count: 642 Words, 4,755 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.window.state.tx.us/taxinfo/taxforms/05-359.pdf

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05-359 (rev.7-08/9)

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CLEAR FIELDS

REQUEST FOR CERTIFICATE OF ACCOUNT STATUS TO TERMINATE A TAXABLE ENTITY'S EXISTENCE IN TEXAS
ATTENTION: An entity that intends to dissolve or otherwise end its legal existence must be current with tax filing requirements for all taxes administered by the Comptroller under Title 2 of the Texas Tax Code and all tax accounts for those taxes must be closed. To determine if the entity is current in tax requirements and to close any open tax accounts, call toll free (800) 252-1381 from anywhere in the United States. The Austin number is (512) 463-4600.

SECTION A - ENTITY INFORMATION
Legal entity name Taxpayer number File number (From the Texas Secretary of State)

1. Is this entity a member of an affiliated group that will be required to file a combined report? ..................................................... yes If the answer is "YES," enter the following information for the entity that will report on your behalf. If the answer is "NO," skip to Section B.
Legal name of REPORTING ENTITY Texas taxpayer number / FEI number

no

2. is this entity's accounting period beginning date on or after the accounting period beginning date to be used by the combined group on its franchise tax report?........................................................................... yes no If the answer is "YES," this entity's information MUST be included in the combined group report. If the answer is "NO," enter the following information. This entity's accounting period beginning date .....................................
month day year

The day before the accounting period beginning date of the combined group .................

month

day

year

SECTION B - TEXAS ENTITY
If the entity is formed in Texas, indicate the filing for which the certificate is required: DissoLuTion / TerminaTion merger enTiTy conversion

SECTION C - NON-TEXAS ENTITY
If the entity is formed outside of Texas, please complete the following information: 1. is the entity still conducting business in Texas? .......................................................................................................................... yes no

2. If "NO," enter the last day of business activity in Texas:____________________________________________________________________________ 3. Does the entity still have an active charter in its home state? .................................................................................................... 4. If "NO," please indicate how the home state charter was terminated and the effective date:
month day year

yes

no

Dissolution effective date: ............................... Merger effective date:...................................... Entity conversion effective date:...................... NOTE: If the home state charter has been terminated, a copy of the home state documentation evidencing that the entity ceased to exist must accompany this request. The home state documentation must bear the seal of the Secretary of State or other appropriate filing agency and the effective date of the filing. Name of survivor: ____________________________________

SECTION D - CERTIFICATE INFORMATION
The Secretary of State offers filing of dissolutions and withdrawals through the SOSDirect System, on-line at www.sos.state.tx.us/corp/sosda/index.shtml. To assist you in filing these forms you can request the Certificate of Account Status in electronic (.pdf) format. Fax is also available for your convenience. Please note that all requests are processed in the order received, regardless of the format you select. Please indicate how you would like to receive your certificate. FaX .PDF Mail FaX number Telephone number (Area code and number): _______________________________ (Area code and number): _________________________________ E-mail address: _____________________________________________________________________________________________ Mailing address: ______________________________________ City: _____________________ State: ______ ZIP code: _________
Telephone number & extension

Requestor name (Please type or print)

authorized agent

FOR ASSISTANCE: If you have any questions regarding franchise tax, you may contact the Texas State Comptroller's field office in your area or call (800) 252-1381, toll free, nationwide. The Austin number is (512) 463-4600.

Mail to: COMPTROLLER OF PUBLIC ACCOUNTS P.O. Box 149348 austin, Texas 78714-9348

Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exceptions in accordance with Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or toll-free number listed on this form.