Texas Form Ap 175 PDF Details

In the state of Texas, businesses involved in the cigarette, cigar, and tobacco products industry that operate beyond retail sales must navigate the intricacies of the Texas Application for Non-Retailer Cigarette, Cigar and/or Tobacco Products Permit, known commonly as the AP 175 form. This crucial document serves as the gateway for entities such as sole proprietors, partnerships, corporations, and other organizations planning to engage in manufacturing, importing, wholesaling, distributing, or storing these products within the state. Furthermore, it applies to those intending to conduct delivery sales or ship cigarettes in connection with such sales, indicating the state's regulatory interest in tracking and controlling the flow of these products. The form delineates various categories of operators in the industry, including bonded agents, cigarette distributors, tobacco products distributors, importers, manufacturers, and wholesalers, each with defined roles within the supply chain. The necessity of obtaining a permit underpins the state's efforts to ensure compliance with tax obligations and regulatory standards, underscoring the importance of this process for businesses aiming to engage in the tobacco product market in Texas. Additionally, it addresses penalties for non-compliance, emphasizing the financial and operational risks of operating without a valid permit. Thus, the AP 175 form represents a critical step for prospective non-retailer operators within the Texas tobacco industry, framing the legal and operational landscape they must navigate to legally conduct business.

QuestionAnswer
Form NameTexas Form Ap 175
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesap 175 texas online application for retailer cigarette form

Form Preview Example

Texas Application for Non-Retailer Cigarette,

Cigar and/or Tobacco Products Permit

Who Must Submit This Application – You must submit this application if:

•you are a sole owner, partnership, corporation or other organization that intends to do business in Texas;

•you intend to manufacture, import, wholesale, distribute or store any cigarette, cigar and/or tobacco products; AND

•you intend to make a delivery sale or ship cigarettes in conjunction with a delivery sale.

Definition of Non-Retailer –

Bonded Agent – any person in this state who is an agent of a person outside this state and receives cigarettes or cigars/tobacco products in interstate commerce and stores the cigarettes or cigars/tobacco products for distribution or delivery to distributors under orders from the person outside this state.

Cigarette distributor – any person who:

(a)is authorized to purchase for the purpose of making a first sale in this state cigarettes in unstamped packages from manufacturers who distribute cigarettes in this state and to stamp cigarette packages;

(b)ships, transports, imports into this state, acquires or possesses cigarettes and makes a first sale of the cigarettes in this state;

(c)manufactures or produces cigarettes; or

(d)is an importer or import broker.

Tobacco products distributor – any person who:

(a)receives tobacco products for the purpose of making a first sale in this state from a manufacturer either outside or within the state, or brings or causes to be brought into this state, tobacco products for sale, use or consumption;

(b)manufactures or produces tobacco products; or

(c)is an importer or import broker.

Importer – any person who ships, transports or imports into this state cigarettes or tobacco products manufactured or produced outside the United States for the purpose of making a first sale in this state. (An importer must obtain an annual permit from the Comptroller's office for each place of business owned or operated in Texas. There is no fee required to obtain an importer permit.)

Manufacturer – any person who manufactures or produces and sells cigarettes or tobacco products to a distributor.

Manufacturer’s Representative – any person who is employed by a manufacturer to sell or distribute the manufacturer's stamped cigarette packages or tax- paid cigars/tobacco products.

Wholesaler – Any person, including a manufacturer's representative, who sells or distributes stamped cigarette packages or tax-paid cigars/tobacco products in this state for resale, but who is not a distributor.

General Definitions –

Customs bonded warehouse – a business location under the jurisdiction of the Federal Government.

Engaged in Business – You are engaged in business in Texas if you or independent salespersons make sales, leases or rentals, or take orders for tangible personal property, or deliver tangible personal property, or perform taxable services, or have lease (personal) property, a warehouse or other location in Texas; or benefit from a location in Texas of authorized installation, servicing or repair facilities; or allow a franchisee or licensee to operate under your trade name if they are required to collect Texas tax.

First Sale – means (a) the first transfer of possession in connection with a purchase, sale or exchange for value of cigarettes or cigars/tobacco products in intrastate commerce; (b) the first use or consumption of cigarettes or cigars/tobacco products in this state; or (c) the loss of cigarettes or cigars/tobacco products in this state whether through negligence, theft or other loss.

Penalty and late fee – If you are a distributor, and you have been selling without a permit, you will need to file returns and pay tax, plus applicable penalty and interest, for the period of time that you have been in business. A $50 late fee will be assessed on each existing location that is not in compliance with permit requirements. Operating without a valid permit is punishable by a fine of not more than $2,000 per day.

Place of Business – means a commercial business location where cigarettes or cigars/tobacco products are sold, kept for sale or consumption or are otherwise stored, or a vehicle from which cigarettes or cigars/tobacco products are sold. The commercial business location where cigarettes are stored or kept cannot be a residence or a unit in a public storage facility (except for cigars and tobacco products Manufacturer's Representatives).

Delivery Sale – means a sale of cigarettes to a consumer in this state in which the purchaser submits the order for the sale by means of telephone or other method of voice transmission, by using the mail or any other delivery service, or through the Internet or another on-line service, or the cigarettes are delivered by use of the mails or another delivery service. A sale of cigarettes is a delivery sale regardless of whether the seller is located within or outside Texas. A sale of cigarettes not for personal consumption to a person who is a wholesaler or retailer is not a delivery sale.

Delivery Service – means a person, including the United States Postal Service, that is engaged in the commercial delivery of letters, packages or other containers.

Shipping Container – means a container in which cigarettes are shipped in connection with a delivery sale.

Shipping Documents – means a bill of lading, air bill, United States Postal Service form or any other document used to evidence the undertaking by a delivery service to deliver letters, packages or other containers.

For Assistance –

If you have any questions or need more information regarding this application, the cigarette tax, or the cigars and tobacco products tax, visit the Comptroller’s website at www.window.state.tx.us or call 1-800-862-2260 or 512-463-3731.

Specific Instructions

Item 1 – Sole owner - Enter first name, middle initial and last name. Partnership - Enter the legal names of the partners. Corporation/Entity - Enter the legal name exactly as it is registered with the Secretary of State.

Other organization - Enter the title of the organization.

Item 2 – Enter the complete mailing address where you want to receive mail from the Comptroller of Public Accounts.

NOTE: If you want to receive mail for other taxes at a different address, attach a letter with the other address(es).

Item 6 – If you have both a Texas taxpayer number and a Texas vendor identification number, enter only the first eleven digits of the vendor identification number.

Item 7 – If you check "Other," identify the type of organization. Example: social club, independent school district, family trust.

Item 11 – Enter all information relevant to sole ownership. For partnerships, enter the information for ALL partners. For corporations or other organizations, enter the information for the principal officers (presi- dent, vice-president, secretary, treasurer). If the applicant does not have a Social Security number, enter the individual taxpayer identification number or other number assigned by the federal government for use when filing federal income tax returns.

Item 13 – Enter the physical location address (not P.O. Box number or rural route and box number) for the commercial business location where cigarettes or cigars/tobacco products are sold, kept for sale or consumption or are otherwise stored. A lease agreement may be requested.

Item 22 – If you are an importer, enter the permit number(s) issued by the Department of Treasury, Alcohol & Tobacco Tax & Trade Bureau under 26 U.S.C. Chapter 52, to engage in the business of importing tobacco products.

AP-175-1 (Rev.2-13/15)

TAXPAYER INFORMATION

OWNERSHIP INFORMATION

AP-175-2 (Rev.2-13/15)

Texas Application for Non-Retailer

Cigarette, Cigar and/or

• Type or print.

• Do NOT write in shaded areas.

Tobacco Products Permit

 

 

Page 1

1.Legal name of owner (sole owner or partners, first name, middle initial and last name; corporation or other name)

•

2.Mailing address (street and number, P.O. Box or rural route and box number)

•

 

City

 

State

 

ZIP code

 

 

 

County

•

 

•

 

•

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Enter the daytime phone number of the person

 

 

 

 

 

Area code

 

 

 

 

 

 

Number

 

 

 

•

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

primarily responsible for filing tax returns

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Enter your Federal Employer Identification (FEI) Number, if any,

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

assigned by the United States Internal Revenue Service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.If you are incorporating an existing business,

enter the taxpayer number of the existing business. .........................................................................

6.Enter your taxpayer number for reporting any Texas tax OR your Texas vendor

identification number if you now have or have ever had one. ...........................................................

7.

Indicate how your business is owned.

 

1 - Sole owner

 

 

 

2 - Partnership

 

3 - Texas corporation/LLC

 

 

 

7 - Limited partnership

 

6 - Foreign corporation/LLC

 

4 - Other (explain)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

If your business is a Texas entity,

 

 

 

 

 

File number

 

 

File date (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. ...................................................................enter the file number and date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. If your business is not a Texas entity, enter home state, file number, Texas registration number and date.

 

Home state

File number

Texas registration number

 

 

 

 

 

 

 

 

Registration date (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. If your business is a limited partnership,

 

 

Home state

Identification number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.......................................................enter the home state and identification number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Complete for sole owners, general partners or principal officers of your business. (Attach additional sheets, if necessary.)

Name (first, middle initial, last)

•

Social Security or individual taxpayer identification number

Driver license number

State

Phone (area code and number)

•

Home address (street and number, city, state, ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

 

 

 

 

M

 

 

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of birth (month, day, year)

 

 

Race

 

 

 

Percent of ownership or

 

 

 

 

 

Has this person ever been convicted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate stock held ...

%

of a felony in any state?

 

 

 

 

 

YES

 

 

NO

 

Position (Check all applicable boxes.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sole owner

 

 

Partner

 

 

 

Director

 

 

 

Officer

 

Corporate stockholder

 

 

Other (specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (first, middle initial, last)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

•

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security or individual taxpayer identification number

Driver license number

 

 

 

 

State

 

Phone (area code and number)

 

 

 

 

 

 

 

 

 

 

 

•

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home address (street and number, city, state, ZIP code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sex

 

 

M

 

 

 

F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of birth (month, day, year)

 

 

Race

 

 

Percent of ownership or

 

Has this person ever been convicted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate stock held ...

%

of a felony in any state?

 

 

YES

 

 

NO

Position (Check all applicable boxes.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sole owner

 

 

 

 

 

Partner

 

 

 

Director

 

 

Officer

 

Corporate stockholder

 

 

Other (specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal Privacy Act

Disclosure of your Social Security number is required and authorized under law, for the purpose of tax administration and identification of any individual affected by applicable law. 42 U.S.C. §405(c)(2)(C)(i); Tex. Govt. Code §§403.011 and 403.078. Release of information on this form in response to a public information request will be governed by the Public Information Act, Chapter 552, Government Code, and applicable federal law.

Under Ch. 559, Government Code, you are entitled to review, request and correct information we have on file about you, with limited exceptions in accordance with Ch. 552, Government Code. To request information for review or to request error correction, contact us at the address or phone number listed on this form.

AP-175-3 (Rev.2-13/15)

Texas Application for Non-Retailer

Cigarette, Cigar and/or

Tobacco Products Permit

 

 

 

 

• Type or print.

• Do NOT write in shaded areas.

Page 2

12. Legal name of owner (same as Item 1)

BUSINESS LOCATION

13. Business location name

•

Business location address where cigarettes or cigars/tobacco products are sold, kept for sale or consumption or are otherwise stored. Address must be a commercial location. Public storage units, rural routes or P.O. Boxes are not allowed.

•

 

City

 

 

State

 

 

 

ZIP code

 

 

 

 

•

 

 

•

 

 

•

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County

14. Enter the daytime phone

Area code

 

 

Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

number of the person primarily •

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

responsible for the business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

Is this location inside the city limits?

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Is this location a customs bonded warehouse?

 

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

If "YES," please explain.

For Comptroller Use Only

Job name

MISCAPP

00991

8 8

Reference No.

TAX RESPONSIBILITY

17. Describe the nature of your business at this location. (Use additional sheets, if necessary.)

18.

What is the first business date that this business location will

month

 

day

 

 

 

 

year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

conduct sales of cigarettes, cigars and/or tobacco products?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

Are you planning to sell cigarettes over the Internet/mail order?

 

 

 

 

 

 

 

 

 

 

YES

 

NO

 

 

 

 

 

 

 

 

 

 

 

If "YES," please provide your email or Web page address:

NOTE: State law requires all Internet and mail order cigarette sellers planning to deliver cigarettes to a purchaser in Texas to register their business with the state and collect all applicable state taxes and remit them to the Comptroller's office.

20.

Indicate the permit type needed for cigarettes:

 

Manufacturer

 

 

Wholesaler

 

Distributor

 

 

Bonded agent

 

 

 

Importer

 

 

21.

Indicate the permit type needed for other tobacco products:

 

Manufacturer

 

Wholesaler

 

 

Distributor

 

Bonded agent

 

Importer

 

 

 

 

 

 

22.

Provide your current Dept. of Treasury, Alcohol & Tobacco Tax & Trade Bureau (T.T.B.) permit number(s) for cigarette and/or tobacco products:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Will you store unstamped cigarettes and/or tax-unpaid tobacco products for which tax is due?

 

 

 

 

YES

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

If "YES," for whom will you store unstamped cigarettes and/or tax-unpaid tobacco products? (Use additional sheets, if necessary):

24.

Indicate how your company will handle sample complimentary products:

 

 

 

 

 

 

Manufacturer will stamp all complimentary cigarettes.

 

Manufacturer will ship to a licensed distributor who will stamp or pay the tax.

 

 

 

 

 

Manufacturer will pay the tax directly to the State of Texas

 

 

Not applicable: Federal military/Native American Reservation sales

 

 

 

 

 

 

for complimentary tobacco products.

 

 

 

 

 

 

 

25.

Will you stamp cigarettes in Texas with another state's stamp?

 

YES

 

NO

 

 

 

If "YES," please list the other states:

 

 

 

 

 

 

 

 

26.

Will you sell cigarettes, cigars and/or tobacco products from a motor vehicle?

 

YES

 

NO

 

 

If "YES," please complete the following (Use additional sheets or complete Form 69-122, if necessary.):

YEAR

MAKE

MODEL

LICENSE PLATE NO.

STATE

MOTOR VEHICLE ID NUMBER

IN-SERVICE DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.If your place of business is a vehicle, where will business records for the vehicle(s) listed above be maintained? (Use street address or directions, city, state and ZIP code - NOT P.O. Box, rural route or public storage.) — Must be a commercial location.

28.Will you sell or store cigarettes, cigars and/or tobacco products at the location

where the records will be kept?

 

YES

 

NO

AP-175-4 (Rev.2-13/15)

Texas Application for Non-Retailer

Cigarette, Cigar and/or

Tobacco Products Permit

• Type or print.

• Do NOT write in shaded areas.

Page 3

29. Legal name of owner (same as Item 1)

•

SUCCESSOR INFORMATION

If you purchased an existing business or business assets, complete Items 30-33; otherwise, skip to Item 34. 30. Enter the former owner's trade name. If known, enter the former owner's Texas taxpayer number.

Trade name

 

Taxpayer number of former owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31. Enter the former owner's legal name. If known, enter the former owner's telephone number.

Legal name of former owner

 

Phone (area code and number)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address of former owner (street and number, city, state, ZIP code)

32.Check each of the following items you purchased. (This includes the value of stock exchanged for assets.)

Inventory

 

Corporate stock

 

Equipment

 

Real estate

 

Other assets

33. Enter the purchase price of the business or assets purchased and the date of purchase.

Purchase price

 

Date of purchase (month, day, year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OF NR

Former owner is

Active

OOB

SIGNATURES

The sole owner, all general partners, corporation president, vice-president, secretary or treasurer, or an

Date of application (month, day, year)

authorized representative must sign this application. Representative must submit a written power of attorney

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

with application. (Attach additional sheets, if necessary.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34. I (We) declare that the information in this document and any attachments is true and correct to the best of my (our) knowledge and belief.

Type or print name and title of sole owner, partner or officer

 

Sole owner, partner or officer

 

 

 

Type or print name and title of partner or officer

 

Partner or officer

 

 

 

Type or print name and title of partner or officer

 

Partner or officer

 

 

 

Your permit must be prominently displayed in your place of business.

All information provided on this form may be disclosed to the public, upon request, under the

Texas Public Information Act, Government Code, Chapter 552.

WARNING. You may be required to obtain an additional permit or license from the State of Texas or from a local governmental entity to conduct business. A listing of links relating to acquiring licenses, permits, and registrations from the State of Texas is available online at http://www.Texas.gov. You may also want to contact the municipality and county in which you will conduct business to determine any local governmental requirements.

Non-Retailer Permit Fees

(Cigarette and/or Tobacco Products Permits expire the last day of February each year.)

PERMIT TYPE

ANN. FEE

MAR.

APR.

MAY

JUNE

JULY

AUG.

SEPT.

OCT.

NOV.

DEC.*

JAN.*

FEB.*

Bonded agent

$300.00

$300.00

$275.00

$250.00

$225.00

$200.00

$175.00

$150.00

$125.00

$100.00

$75.00

$50.00

$25.00

Distributor

300.00

300.00

275.00

250.00

225.00

200.00

175.00

150.00

125.00

100.00

75.00

50.00

25.00

Manufacturer

300.00

300.00

275.00

250.00

225.00

200.00

175.00

150.00

125.00

100.00

75.00

50.00

25.00

Wholesaler

200.00

200.00

183.33

166.67

150.00

133.33

116.67

100.00

83.33

66.67

50.00

33.33

16.67

Vehicle

15.00

15.00

13.75

12.50

11.25

10.00

8.75

7.50

6.25

5.00

3.75

2.50

1.25

Importer

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

NO FEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A vehicle permit can only be purchased in addition to a Distributor, Manufacturer or Wholesaler permit. The vehicle permit fees listed above reflect the amount due per vehicle.

*During the last three months of the permit period, the Comptroller may collect the prorated fee for the current period and the fee for the next period. Add the amount in the "Annual Fee" column to the prorated amount for the applicable month. (i.e., January fee is $50.00 + annual fee of $300.00 = $350.00.)

A $50 late fee will be assessed on each existing location that is not in compliance with permit requirements. Tex. Tax Code Ann. Ch. 154 and/or Ch. 155.

Mail your completed application with the required permit fee to:

Comptroller of Public Accounts

111 E. 17th St.

Austin, TX 78774-0100

Make check payable to:

State Comptroller

How to Edit Texas Form Ap 175 Online for Free

Should you would like to fill out Texas Form Ap 175, you don't have to install any programs - just make use of our PDF tool. Our team is relentlessly working to develop the editor and ensure it is much faster for clients with its multiple features. Enjoy an ever-evolving experience now! With just a few easy steps, you can start your PDF journey:

Step 1: Press the orange "Get Form" button above. It'll open up our tool so that you can begin completing your form.

Step 2: This tool will let you change your PDF in a range of ways. Improve it with your own text, correct existing content, and put in a signature - all at your fingertips!

Filling out this form requires attentiveness. Ensure each field is filled in accurately.

1. Complete the Texas Form Ap 175 with a number of essential fields. Consider all of the necessary information and make certain nothing is left out!

Texas Form Ap 175 conclusion process explained (portion 1)

2. Once this section is completed, go to enter the suitable details in all these - Complete for sole owners general, Name first middle initial last, cid, cid, cid, cid, Social Security or individual, Driver license number, State, Phone area code and number, Home address street and number, Date of birth month day year, Race, Position Check all applicable boxes, and Percent of ownership or Corporate.

How you can fill in Texas Form Ap 175 portion 2

3. The following part will be about Legal name of owner same as Item, Business location name cid, Page, For Comptroller Use Only, Job name MISCAPP, Reference No, Business location address where, cid, cid, City, County, State, ZIP code, cid, and cid - fill out all these blanks.

Completing section 3 in Texas Form Ap 175

4. The subsequent paragraph comes with the next few form blanks to consider: to register their business with, Indicate the permit type needed, Manufacturer, Wholesaler, Distributor, Bonded agent, Importer, Indicate the permit type needed, Manufacturer, Wholesaler, Distributor, Bonded agent, Importer, Provide your current Dept of, and Will you store unstamped.

Provide your current Dept of, Importer, and Indicate the permit type needed in Texas Form Ap 175

5. This form must be wrapped up with this section. Further you can see a detailed list of fields that need correct information in order for your form submission to be faultless: If your place of business is a, city state and ZIP code NOT PO, Will you sell or store cigarettes, where the records will be kept, and YES.

Texas Form Ap 175 conclusion process explained (portion 5)

People who work with this PDF frequently make mistakes when filling in city state and ZIP code NOT PO in this area. You should definitely reread whatever you type in here.

Step 3: Before submitting the document, ensure that all blank fields are filled in correctly. When you think it's all fine, press “Done." After setting up afree trial account at FormsPal, you will be able to download Texas Form Ap 175 or email it at once. The PDF form will also be easily accessible via your personal account menu with all of your adjustments. With FormsPal, you can fill out forms without having to be concerned about personal data incidents or entries being shared. Our secure platform helps to ensure that your personal information is stored safely.

Texas Form Ap 175 isn’t the one you’re looking for?

Related Documents