ESBD_392433_1737664306927_ATTACHMENT G.2 Application for Texas ID #AP-152_082118.pdf
PDF 624 KB Posted
- Attached to
- Digital Services for Recruiting
- Solicitation number
- TMD25-TSG-0036758
- Issued by
- Harris County, Texas
About this file
This document is the Texas Application for Texas Identification Number (Form AP-152) used by the Texas Comptroller's office to assign identification numbers to individuals and businesses that receive payments from the state. The form collects essential information including the type of Texas Identification Number (TIN) being requested (EIN, SSN, ITIN, or Comptroller-assigned number), payee contact details, and ownership structure classification.
The form includes sections for business ownership codes covering various entity types like individual recipients, sole proprietorships, partnerships, corporations, governmental entities, and financial institutions. It also provides options for payment assignments between payees and requires supporting documentation if assignments are selected. The form appears to be revision 8-21/18, suggesting it was last updated in August 2021. No specific pricing terms, set-asides, or funding requirements are mentioned as this is purely an administrative document for establishing payment credentials with the state.
View the file
Other files
Show all 17
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 .