Form 05-158-F — Texas Franchise Tax Report (Long Form, Final)

(Rev.8-25/11)

# RESET FORM PRINT FORM

Texas Franchise Tax Report - Page 1
13270 Final
Tcode

# FILING REQUIREMENTS

Due date
Taxpayer number Report year
2 0 2 6
Taxpayer name
Mailing address
City State Country
Blacken circle if Total Revenue is adjusted for Blacken circle if this is a combined report Secretary of State file number or Comptroller file number ZIP code plus 4 Blacken circle if the address has changed Blacken circle if entity is Passive Passive REIT and/or a REIT, see instructions Tiered Partnership Election, see instructions If not twelve months, see instructions for annualized revenue m m d d y y m m d Accounting year Accounting year begin date end date REVENUE (Whole dollars only) ,

1. Gross receipts or sales 1. ,
2. Dividends 2. ,
3. Interest 3. ,
4. Rents (Can be negative amount) 4. ,
5. Royalties 5. ,
6. Gains/losses (Can be negative amount) 6. ,
7. Other income (Can be negative amount) 7. ,
8. Total gross revenue (Add items 1 thru 7) 8. ,
9. Exclusions from gross revenue (See instructions) 9. (Item 8 minus item 9; if ,
10. TOTAL REVENUE 10. less than zero, enter 0) COST OF GOODS SOLD (Whole dollars only) ,
11. Cost of goods sold 11. ,
12. Indirect or administrative overhead costs 12.

(Limited to 4%) ,

1. Other (See instructions) 13. ,
2. TOTAL COST OF GOODS SOLD (Add items 11 thru 13) 14.

COMPENSATION (Whole dollars only) ,

1. Wages and cash compensation 15. ,
2. Employee benefits 16. ,
3. Other (See instructions) 17. ,
4. TOTAL COMPENSATION (Add items 15 thru 17) 18.

Blacken circle to request a Certificate of Account Status SIC code NAICS code d y y 0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .
0 0 , , , .

PROCEED TO NEXT PAGE
Texas Comptroller Official Use Only
VE/DE
PM Date (Rev.8-25/11)
13271 Final
Tcode
Taxpayer number
MARGIN (Whole dollars only)

1. 70% revenue (Item 10 x .70)
2. Revenue less COGS (Item 10 - item 14)

Texas Franchise Tax Report - Page 2
Report year Due date Taxpayer name
2 0 2 6
0 0 , , , , .
19.
0 0 , , , , .
20.
0 0 , , , , .
21.

1. Revenue less compensation (Item 10 - item 18) 0 0 , , , , .

22.

1. Revenue less $1 million (Item 10 - $1,000,000)

(Enter the lowest of items 19, 20, 21, or 22;

Text version of this table

REVENUE (Whole dollars only) 1. Gross receipts or sales 1. , , , , . 0 0 2. Dividends 2. , , , , . 0 0 3. Interest 3. , , , , . 0 0 4. Rents (Can be negative amount) 4. , , , , . 0 0 5. Royalties 5. , , , , . 0 0 6. Gains/losses (Can be negative amount) 6. , , , , . 0 0 7. Other income (Can be negative amount) 7. , , , , . 0 0 8. Total gross revenue (Add items 1 thru 7) 8. , , , , . 0 0 9. Exclusions from gross revenue (See instructions) 9. , , , , . 0 0 10. TOTAL REVENUE ( leIt se sm th 8 a m n zin eu ros , i ete nm te r9 0; i )f 10. , , , , . 0 0
	,	,	,	,	.	0	0
	,	,	,	,	.	0	0
	,	,	,	,	.	0	0
	,	,	,	,	.	0	0
	,	,	,	,	.	0	0
	,	,	,	,		. 0	0
	,	,	,	,		. 0	0
	,	,	,	,		. 0	0
	,	,	,	,		. 0	0
	,	,	,	,		. 0	0

# APPORTIONMENT FACTOR

0 0 , , , , .
23.
0 0 , , , , .
24.

1. Gross receipts in Texas (Whole dollars only) 0 0 , , , , .

25.

1. Gross receipts everywhere (Whole dollars only) .

26.

1. APPORTIONMENT FACTOR (Divide item 24 by item 25, round to 4 decimal places)

TAXABLE MARGIN (Whole dollars only) 0 0 , , , , .
27.

1. Apportioned margin (Multiply item 23 by item 26)
2. Allowable deductions (See instructions)
3. TAXABLE MARGIN (Item 27 minus item 28)

# TAX DUE

0 0 , , , , .
28.
0 0 , , , , .

1. .
2. Tax rate (See instructions for determining the appropriate tax rate) 30. , , , , .

31.

1. Tax due (Multiply item 29 by the tax rate in item 30, dollars and cents)

TAX ADJUSTMENTS (Dollars and cents, do not include prior payments)

1. Tax credits (Item 17 from Form 05-181) , , , , .

33.

1. Tax due before discount (Item 31 minus item 32) , , , , .

34.

1. Discount (See instructions applicable to report years 2008 and 2009)

TOTAL TAX DUE (Dollars and cents)

1. TOTAL TAX DUE (Item 33 minus item 34) , , , , .

35.