ESBD_442459_1754340164905_Attachment G.2 - Application for Texas Identification Number AP-152.pdf
PDF 624 KB Posted
- Attached to
- Vehicle Lease Program
- Solicitation number
- TMD25-FMO.CHE.MH-0040428
- Issued by
- Texas
About this file
This is an Application for Texas Identification Number (Form AP-152) issued by the Texas Comptroller's office, designed for individuals and businesses to establish a taxpayer identification number for payment processing purposes. The form serves as a registration document for entities seeking to receive payments from Texas state agencies or conduct business requiring tax reporting to the Comptroller's office, with sections covering basic account setup, taxpayer identification verification, payee information collection, and ownership structure classification.
The form requires detailed information including the applicant's legal name, mailing address, telephone number, and appropriate tax identification number (EIN, SSN, ITIN, or Comptroller-assigned number), along with confirmation of current Texas tax reporting status. Ownership classification options encompass various business structures including individual recipients, sole proprietorships, partnerships, corporations (both Texas and out-of-state), professional associations, governmental entities, state agencies/universities, financial institutions, and foreign entities. The application includes provisions for payment assignments between parties and requires authorized signature with supporting documentation where applicable, establishing the foundation for vendor registration and payment processing within the Texas state system.
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 .