Form Tlg 075 is a Texas sales and use tax return. This form must be filed by taxpayers who are engaged in business in Texas or who make taxable purchases in Texas. The form is used to report state and local sales and use taxes paid on certain property, goods, and services. Sales tax is imposed on the retail sale, lease, or rental of tangible personal property and some services in Texas. Use tax is imposed on the storage, use, or consumption of tangible personal property in Texas. It's important to understand your obligation to file Form Tlg 075 so that you can properly report any taxes owed to the state of Texas. For more information on this form and other sales and use tax requirements in Texas, consult the guidance available from the Comptroller of Public Accounts.
| Question | Answer |
|---|---|
| Form Name | Form Tlg 075 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | TLG 075 Capital_Lending_Cre dit_Application _03 30 2006 the larson group capital lending strafford mo form |
PETERBILT OF SPRINGFIELD |
PETERBILT OF JOPLIN |
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STRAFFORD, MO |
JOPLIN, MO |
O’FALLON, MO |
PETERBILT OF LOUISVILLE |
PETERBILT OF FT. SMITH, LLC |
PETERBILT OF ST LOUIS |
JEFFERSONVILLE, IN |
VAN BUREN, AR |
SAUGET, IL |
PETERBILT OF CINCINNATI |
PETERBILT OF N. KENTUCKY |
PETERBILT OF EVANSVILLE |
CINCINNATI, OH |
ERLANGER, KY |
EVANSVILLE, IN |
TRUCK COMPONENT SERVICES |
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TLG TRUCK |
STRAFFORD, MO |
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KANSAS CITY, MO |
CAPITAL LENDING CREDIT APPLICATION
Fax Number: (417)
PERSONAL INFORMATION
NAME: FIRST |
MIDDLE INITIAL |
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LAST |
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SOCIAL SECURITY NUMBER: |
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DATE OF BIRTH: |
MARITAL STATUS: |
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Unmarried (single, widowed, divorced) |
Married |
Separated |
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ADDRESS: |
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HOME PHONE NUMBER: |
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CITY, STATE, ZIP: |
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HOW LONG AT THIS ADDRESS? |
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EMAIL ADDRESS(S) |
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FORMER ADDRESSES (5 YEAR MINIMUM): |
CITY, STATE, ZIP: |
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DATE OF APPLICATION
NO. OF DEPENDENTS
CELL PHONE NUMBER:
HOW LONG IN AREA?
HOW LONG?
SPOUSE’S NAME (FIRST, M.I., LAST):
SPOUSE’ EMPLOYER:
BUSINESS NAME:
BUSINESS ADDRESS (IF DIFFERENT FROM ABOVE):
DATE OF BIRTH:
POSITION(S) HELD:
SOCIAL SECURITY NUMBER:
HOW LONG?
BUSINESS TAX I.D. NUMBER:
BUSINESS PHONE NUMBER:
EMPLOYMENT HISTORY FOR PAST FIVE YEARS (Present or Last Employer First)
NAME AND ADDRESS OF COMPANY:
1.
2.
3.
NEAREST RELATIVE NOT LIVING WITH YOU: SELF:
SPOUSE:
HAVE YOU EVER TAKEN BANKRUPTCY?
No |
EXPLANATION:
PHONE NO: |
POSITION(S) HELD: |
HOW LONG? |
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ADDRESS: |
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RELATIONSHIP: |
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ARE YOU A DEFENDANT IN ANY LEGAL ACTION? |
HAVE YOU EVER HAD ANY ITEM REPOSSESSED? |
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No |
No |
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TRUCK USAGE
HOW LONG AS OWNER/OPERATOR: |
OPERATOR LICENSE NUMBER: |
STATE: |
DATE: |
PURCHASER TO DRIVE? |
IF NO, PROVIDE INFORMATION BELOW OF |
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Yes |
No |
PERSON WHO WILL DRIVE TRUCK. |
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DRIVER’S NAME (FIRST, M.I., LAST): |
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ADDRESS: |
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YEARS OF EXPERIENCE: |
OPERATOR LICENSE NUMBER: |
STATE: |
DATE: |
SOCIAL SECURITY NUMBER: |
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TRUCK TO WORK FOR – COMPANY NAME: |
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ADDRESS: |
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PHONE NUMBER: |
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IF TRUCKING – BETWEEN WHAT POINTS: |
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OFF HWY USE: |
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AVE MILEAGE PER MONTH |
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Yes |
NO |
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FIRE, THEFT, CAC AND COLLISION INSURANCE IS REQUIRED |
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NAME OF AGENT: |
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ADDRESS: |
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PHONE NUMBER: |
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NAME OF COMPANY |
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ADDRESS |
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COVERAGE TO BE SUBJECT TO MILEAGE RESTRICTION |
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No |
Yes, Radius: |
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1 of 2 |
BALANCE SHEET (Attach additional sheets if necessary)
ASSETS (What you own)
Cash on Hand & in Banks Accounts Receivable Equipment Owned/Leased
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LIABILITIES (What you owe) |
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Accounts Payable |
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Loan/Mortgage Information |
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Company |
City/State |
Phone. No. |
Acct. No. |
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Vehicles Owned
Company |
City/State |
Phone No. |
Acct. No. |
Real Estate: |
Own |
Monthly Payment:_______________
Rent
Company |
City/State |
Phone No. |
Acct. No. |
Other Assets (Itemize)
Other Debts (Itemize)
Total Assets
Total Liabilities
Net Worth
Total Liabilities & Net Worth
CREDIT REFERENCES (List Credit References on Paid Accounts)
NAME: |
CITY/STATE: |
PHONE NO.: |
CONTACT PERSON: |
ACCT. NO.: |
HIGHEST BALANCE: |
1. |
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2. |
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3. |
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BANK REFERENCE NAME: |
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CITY/STATE: |
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ACCOUNT NUMBER: |
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I/We understand and agree that you may assign or transfer this credit application and may also communicate the information contained herein to others to decide whether or not to extend credit. I/We authorize the bank and business references, as well as any of my/our lessors, landlords and any other past creditors to give any and all necessary information to you, your assignees or transferees, which will assist you in your credit inquiry. This application is given for the purpose of obtaining credit. I/We hereby certify under penalty of law that the foregoing is a true and complete statement of my/our financial condition. In the event of any material change in my/our financial condition, I/We will notify you immediately in writing. This shall be a continuing authorization for all present and future disclosures of account information and credit experience and credit inquiries.
X |
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X |
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Signature |
Date |
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Signature |
Date |
INSURANCE QUOTES REQUESTED
PHYSICAL DAMAGE – Deductible: |
$500 |
$1000 |
$1500 |
Other:___________ |
Cargo
Downtime
Driver Benefits
Disability
Term Life
Credit Life
Single Premium Annuity
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