ESBD_365033_1719423208708_Exhibit G.3 - Application for Texas Identification Number.pdf
PDF 624 KB Posted
- Attached to
- Drone Storage Lockers
- Solicitation number
- TMD24-SAD-0035359
- Issued by
- Travis County, Texas
About this file
This document is an Application for Texas Identification Number form. It is to be used by individuals or businesses seeking to obtain a Texas Identification Number (TIN) to receive payments from the state of Texas. The form collects key information such as the applicant's name, mailing address, telephone number, TIN type (Employer Identification Number, Social Security Number, Individual Taxpayer Identification Number), current Texas Taxpayer Number (if applicable), ownership type, and payment assignment details.
The related state and local contract opportunity is for the Texas Military Department to purchase five (5) drone storage lockers, as detailed in the attached Invitation for Bid (IFB) packet. No additional details are provided regarding pricing terms, set-asides, incumbents, funding requirements, or other salient information.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SIC
code
| Payee | Information | (Please type or print) | ||||||||
| 4. | Name | of | payee | (Individual | or | business | to | be | paid) |
5. Mailing address where you want to receive payments
6. (Optional)
7. (Optional)
8. (Optional)
9. City State ZIP code
10.
Payee telephone number (Area code and number)
Security type code ( 0, 1, 2 )
Zone code
| 2. | Texas | Identification | Number | (TIN) | - | Indicate the type of number you are providing to be used for your TIN |
| Employer | Identification | Number | (EIN) | (9 digits) |
(SSN)Social Security number (9 digits)
Individual Taxpayer Identification Number (ITIN) (9 digits)
| Comptroller's | assigned | number | (FOR | STATE | AGENCY | USE | ONLY) | (11 digits) | |
| Current | Texas | Identification | Number | (FOR | STATE | AGENCY | USE | ONLY) | (11 digits) |
| 3. | Are | you | currently | reporting | any | Texas | tax | to | the | Comptroller's |
| office | such | as | sales | tax | or | franchise | tax? | YES | NO |
Enter the number indicated
If "YES," enter Texas Taxpayer Number
1. Is this a new account? YES Mail Code 000 NO Enter Mail Code Agency number Complete Sections 1 - 5 Complete Sections 1, 2 & 5
For Comptroller's use only
11. Ownership Codes - Check only one code by the appropriate ownership type that applies to you or your business.
L - Texas Limited Partnership:
If checked, enter the
Texas File Number
Owner's name
T - Texas Corporation:
If checked, enter the Texas File Number
SSN / ITIN (9 digits) A - Professional Association:
If checked, enter the Texas File Number
If checked, enter the exas File Number
C - Professional Corporation:
T
Name
SSN / ITIN / EIN (9 digits)
Name
SSN / ITIN / EIN (9 digits)
I - Individual Recipient (not owning a business)
| S | - | Sole | Ownership | (Individual | owning | a | business): | If | checked, |
| enter | the | owner's | name | and | Social | Security | number | (SSN) |
P - Partnership: If checked, enter two partner's names and
| Social | Security | numbers | (SSN). | If | a | partner | is | a | corporation, | use |
| the | corporation's | Employer | Identification | Number | (EIN). |
O - Out-of-State Corporation
G - Governmental Entity
U - State agency / University
F - Financial Institution
R - Foreign (out of U.S.A.)
N - Other: If checked, explain.
12. Payment Assignment? YES NO Note: A copy of the assignment agreement between payees must be attached.
Assignee name
Assignee TIN Assignment date
13. Comments Authorized signature (Applicant or authorized agent) Date
14.
Agency name Prepared by Phone (Area code and number)
15.
AP-152
(Rev.8-21/18)
Application for Texas Identification Number
• See instructions on back
Se ct io n
Se ct io n
Se ct io n
Se ct io n
Se ct io n
| Item1: Off |
| Item1a: |
| Item1b: |
| Item2: Off |
| Item3: Off |
| Item3a: |
| Item9C: |
| Item10a: |
| Item11: Off |
| Item11b: |
| Item11c: |
| Item11e: |
| Item11d: |
| Item11g: |
| Item11f: |
| Item11j: |
| Item11k: |
| Item11l: |
| Item11m: |
| Item11i: |
| Item12: Off |
| Item12b: |
| Item12c: |
| Item12d: |
| Item13: |
| Item14: |
| Clear: |
| SIC1: |
| IntUse2: AGENCY USE ONLY |
| STC: |
| ZC1: |
| IntUse1: AGENCY USE ONLY |
| Item15A: |
| Item15B: |
| Item15C: |
| Item4: |
| Item5: |
| Item6: |
| Item7: |
| Item8: |
| Item9a: |
| Item9b: |
| Print: |
| IntUse3: AGENCY USE ONLY |
| Item2a: |
| Item2a9: 742884783 |
| Item2K: |
File details come from the government source that posted it. Updated .