Texas Comptroller Form Instructions
Form 05-167-A — Texas Franchise Tax Ownership Information Report (Annual)
preamble
Taxpayer number Report year Due date Tcode CountryMailing address Taxpayer name City Blacken circle if the mailing address has changed. State ZIP code plus 4 Name City State ZIP code plus 4 Mailing address
GENERAL PARTNER
FEI number Percentage of ownership What type of owner? LIMITED PARTNER OTHER (Blacken only one) Name City State ZIP code plus 4 Mailing address
GENERAL PARTNER
FEI number Percentage of ownership What type of owner? LIMITED PARTNER OTHER (Blacken only one) Name City State ZIP code plus 4 Mailing address
GENERAL PARTNER
FEI number Percentage of ownership What type of owner? LIMITED PARTNER OTHER (Blacken only one) Name of owned (subsidiary) corporation or entity State of formation FEI number Percentage of ownership Name of owned (subsidiary) corporation or entity State of formation FEI number Percentage of ownership City State ZIP code plus 4 (see instructions if you need to make changes) Agent: Date Area code and phone number ( ) - Title VE/DE PM Date Texas Franchise Tax Ownership Information Report Professional Associations or Financial Institutions You have certain rights under Chapter 552 and 559, Government Code, to review, request and correct information we have on file about you. SECTION A. Enter the information required for each general partner of a partnership or each trustee of a trust. Also, provide the information for each person or entity that owns an interest of 10 percent or more in this entity. SECTION B. Enter the information required for each entity, if any, in which this partnership, association, trust or other entity owns an interest of 10 percent or more. The above information is authorized by Section 171.201(a)(2), Section 171.201(a)(3), 171.202(a)(4) and 171.354 for each entity. Use additional forms (05-167) for Sections A and B as necessary. I declare that the information in this document and any attachments is true and correct to the best of my knowledge and belief, as of the date below. Visit us at www.comptroller.texas.gov/taxes/franchise. Use www.comptroller.texas.gov/about/contact for locations and phone numbers. Mail to: Texas Comptroller of Public Accounts P.O. Box 149348 Austin, TX 78714-9348
Source: official text