Form 05-169-A — Texas Franchise Tax Report (E-Z Computation, Annual)

# RESET FORM PRINT FORM

Texas Franchise Tax EZ Computation Report
(Rev.9-23/9)
Tcode 13252 Annual
Taxpayer number
Taxpayer name
Mailing address
City State

# FILING REQUIREMENTS

Report year Due date
2 0 2 6 05/15/2026
Country ZIP code plus 4 Blacken circle if the address has changed Blacken circle if entity is Passive Blacken circle if Total Revenue is adjusted for Blacken circle if this is a combined report REIT Passive and/or a REIT, see instructions Tiered Partnership Election, see instructions m m d d y y Yes No NAICS code m m d d y y
Accounting year
Accounting year begin date end date REVENUE (Whole dollars only, items 1 -12)

1. Gross receipts or sales
2. Dividends
3. Interest
4. Rents (can be negative amount)
5. Royalties
6. Gains/losses (can be negative amount)
7. Other income (can be negative amount)
8. Total gross revenue

(Add items 1 thru 7)

1. Exclusions from gross revenue 0 0 1.

0 0
2.
0 0
3.
0 0
4.
0 0
5.
0 0
6.
0 0
7.
0 0
8.
0 0
9.
(see instructions)

1. TOTAL REVENUE

0 0
(item 8 minus item 9 if less than zero, enter 0)

1. Gross receipts in Texas
2. Gross receipts everywhere 10.

0 0
11.
0 0
12.

1. Apportionment factor (Divide item 11 by item 12) (Round to 4 decimal places)
2. Apportioned revenue

13.
(Multiply item 10 by item 13) (Dollars and cents) 14.

1. Tax due before discount (Multiply item 14 by 0.00331) (Dollars and cents) 15.
2. Discount (see instructions, applicable to report years 2008 and 2009) 16.
3. TOTAL TAX DUE (item 15 minus item 16) (Do not include payment if this amount is less than $1,000) 17.

Do not include payment if item 17 is less than $1,000 or if annualized total revenue is less than the no tax due threshold (see instructions).
If the entity makes a tiered partnership election, ANY amount in item 17 is due. Complete Form 05-170 if making a payment.
Print or type name Area code and phone number ( ) -
Mail original to:
I declare that the information in this document and any attachments is true and correct to the best of my knowledge and belief.
Texas Comptroller of Public Accounts Date P.O. Box 149348 Austin, TX 78714-9348 Instructions for each report year are online at www.comptroller.texas.gov/taxes/franchise/forms/. If you have any questions, call 800-252-1381.
If not 12 months, see instructions for annualized revenue.
VE/DE
PM Date