Form 05-167-A — Texas Franchise Tax Ownership Information Report (Annual)

# RESET FORM PRINT FORM

Texas Franchise Tax Ownership Information Report
(Rev.2-24/8)
Professional Associations or Financial Institutions
Tcode 13197
Taxpayer number Report year
2 0 2
Taxpayer name
Mailing address
City State

# FILING REQUIREMENTS

Due date
You have certain rights under Chapter 552 and 559, Government Code, to review, request and
6 5/15/2026 correct information we have on file about you.
Blacken circle if the mailing address has changed.
Country

# LIMITED PARTNER GENERAL PARTNER

# OTHER LIMITED PARTNER GENERAL PARTNER

# OTHER LIMITED PARTNER GENERAL PARTNER

What type of owner?
(Blacken only one)
Mailing address
City State
FEI number Percentage of ownership
ZIP code plus 4
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.
State of formation
Name of owned (subsidiary) corporation or entity FEI number Percentage of ownership
State of formation
Name of owned (subsidiary) corporation or entity FEI number Percentage of ownership
(see instructions if you need to make changes)
Agent:
City State ZIP code plus 4
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.
Title
Visit us at www.comptroller.texas.gov/taxes/franchise.
Date Area code and phone number
( ) -
Mail to:
Texas Comptroller of Public Accounts
Use www.comptroller.texas.gov/about/contact for locations and phone numbers. P.O. Box 149348
Austin, TX 78714-9348
VE/DE
PM Date