Form 05-170-A — Texas Franchise Tax Payment Form (Annual)

Tcode 13050
Taxpayer number Due dateReport year
Taxpayer name
Annual

1. Total tax due on this report 1.

(item 35 from Form 05-158-B or item 17 from Form 05-169)

1. Enter prior payment 2.(e.g. extension payment)
2. Net tax due 3.(item 1 minus item 2)
3. Penalty 4.(see instructions)
4. Interest 5.(see instructions)
5. TOTAL AMOUNT DUE AND PAYABLE 6.(Add items 3, 4 and 5)

Make amount payable to TEXAS COMPTROLLER
VE/DE
PM Date
(Rev.9-16/9) Texas Franchise Tax Payment Form
Taxpayers who paid $10,000 or more during the preceding fi scal year (Sept. 1 thru Aug. 31) are required to electronically pay their franchise tax. For more information visit www.comptroller.texas.gov/taxes/franchise/filing-requirements.php
Mail original to:
Texas Comptroller of Public Accounts
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 1-800-252-1381.