ESBD_427154_1749566421274_SOL_EXH_ F.4_DIRECT DEP FORM.pdf

This document is an Application for Texas Identification Number (Form AP-152) issued by the Texas Comptroller of Public Accounts, designed for entities intending to bill state government agencies for goods, services, refunds, public assistance, or other business activities. The form requires applicants to provide detailed information including the type of Texas Identification Number (TIN) being requested, such as Employer Identification Number (EIN), Social Security Number (SSN), Individual Taxpayer Identification Number (ITIN), or other agency-specific identification codes. Applicants must specify their ownership type (individual, sole ownership, partnership, corporation, etc.) and indicate whether they are currently reporting Texas tax to the Comptroller's office.

The form includes multiple sections for capturing payee information, mailing address, contact details, ownership classification, and optional payment assignment details. Specific instructions emphasize compliance with federal privacy regulations, require accurate identification numbers without using dashes, and mandate disclosure of Social Security numbers under specific legislative acts. The form is intended to establish a unique identifier for entities conducting business with Texas state agencies, facilitating payment processing, tax reporting, and administrative tracking. Applicants must complete the form accurately, provide authorized signatures, and may seek assistance from the state agency from which they obtained the form if they need help with completion.