W.O.R.D. of Comal County Tax Permit Application

Business Information

List multiple outlets separately in spaces below:

1. Trade Name: *

2. Physical Address: *

3. Business Phone: *

4. Email: *

5. Website (if online ad, list website and listing number):

6. First day of business operation: *

7. Do you want your business listed on the WORD website? *

Checkboxes

Other (explain)

Other (explain)

9. Enter your Federal Employer’s Taxpayer ID # (TIN), if any:

10. If you are incorporating an existing business, enter the Federal taxpayer identification number of the existing business:

11. Enter your taxpayer number for reporting any Texas Sales and Use Tax:

12. If you do not have either number listed in questions 9 – 11, enter your Social Security number:

13. If your business is a Texas corporation, enter the charter number and date:

Charter Number

Incorporation Date

14. If your business is a foreign corporation, enter the following:

1. Home State

2. Charter Number

3. Texas Certificate of Authority Number

4. Texas Authority Date

15. If your business is a limited partnership, enter the following:

Home State

Identification Number

16. List all general partners or principal officers of your business:

Name (First, Middle, Last)

Title

(a)

A-Name

A-Title

(b)

B-Name

B-Title

(c)

C-Name

C-Title

(d)

D-Name

D-Title

Home Address (street & No., state, zip)

Phone (area code & No.)

(a)

A-Address

A-Phone

(b)

B-Address

B-Phone

(c)

C-Address

C-Phone

(d)

D-Address

D-Phone

Successor Information

If you purchased an existing business or business assets, complete items 1 thru 4.

1. Enter the former owner’s trade name:

2. Enter the former owner’s legal name:

If known, enter the former owner’s address and phone:

Address

Phone

4. Date of purchase:

Taxpayer Identification

1. Legal name of owner (sole owner, partnership, corporation, or otherwise): *

2. Mailing address (this is where the Permit, tax returns, and other correspondence will be sent): *

Address Line 1

Address Line 2

City

State

Zip Code

3. Owner Contact Phone Number: *

Email: *

4. If you are the sole owner (sole proprietor) of business, enter your home address if it is different than above:

5. Enter the name and contact number of the person primarily responsible for filing tax returns and any other persons authorized to file taxes on your behalf (the owner is legally responsible for all errors):

Primary Name: *

Email *

Phone Number: *

Additional Names:

Phone Number:

Additional Names:

Phone Number:

Signatures

The sole owner, all general partners, corporation president, vice-president, secretary or treasurer or an authorized representative must sign this application. Authorized representative must submit a written authority such as a power of attorney with application. (Attach additional signature sheet if necessary) If using a third-party tax preparer, the business owner must sign this application.

By checking the box below, I (We) declare that the information in this document and any attachments are true and correct to the best of my (our) knowledge and belief.

I/We, the undersigned, acknowledge that I/We are fully responsible for compliance with all WORD requirements and remittance of taxes. The failure of My/Our hired staff or partners does not excuse this responsibility.

By checking this box, I (We) declare that the information in this document and any attachments are true and correct to the best of my (our) knowledge and belief: *