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TEXAS APPLICATION FOR EXEMPTION — FEDERAL AND ALL OTHERS




                        SUSAN COMBS • TEXAS COMPTROLLER OF PUBLIC ACCOUNTS


            Texas tax laws provide exemptions from sales, franchise and/or hotel taxes for organizations meeting specific
            requirements. The exemptions available vary, depending upon the category of exemption under which the
            organization might qualify.

            Please use this application, Form AP-204, to apply for exemption if you are:
                  • applying on the basis of the organization's designation as a qualifying 501(c) organization, or
                  • applying on any basis OTHER THAN as a religious, charitable, educational organization or a
                    homeowners' association.

            Separate applications are available for organizations applying for exemption as a religious (Form AP-209),
            charitable (Form AP-205), educational (Form AP-207) or homeowners association (Form AP-206).

            The applications, laws, rules and other information about exemptions are online at:
                                                www.window.state.tx.us/taxinfo/exempt




             Send the completed application along with all required documentation to:

                                             TExAS COmPTROllER OF PubliC ACCOuNTS
                                             Exempt Organizations Section
                                             P.O. box 13528
                                             Austin, Tx 78711-3528

             We will contact you within 10 working days after receipt of your application to let you know the status
             of your application. We may require an organization to furnish additional information to establish the
             claimed exemption. After a review of the material, we will inform the organization in writing if it qualifies
             for exemption. The Comptroller, or an authorized representative of the Comptroller, may audit the records
             of an organization at any time during regular business hours to verify the validity of the organization’s
             exempt status.

             if you have questions or need more information, contact our Tax Assistance staff at (800) 252-5555, or in
             Austin at (512) 463-4600.



      You have certain rights under Chapters 552 and. 559, Government Code, to review, request and correct information we have on file about
      you. Contact us at the address or toll-free number listed on this form.



AP-204-1 (Rev.1-09/7)
AP-204-2
                                                                                                                                                               PRINT FORM                     CLEAR FIELDS
           (Rev.1-09/7)

          TEXAS APPLICATION FOR EXEMPTION –
               FEDERAL AND ALL OTHERS                                                                     • Remove All Staples • TYPE OR PRINT • Do NOT write in shaded areas.

1. Organizations applying for exemption under one of the categories listed below should check the appropriate box and complete this application.
   Our publication, Guidelines to Texas Tax Exemptions (96-1045), includes a description of the additional documentation required for each category of
   exemption. For the category you select, be sure to read the requirements listed in the publication. If you send in an application without including the
   documentation described in the publication, we will return the application to you with a request for additional information. We are unable to
   process incomplete applications.

                                                                                                                         Credit unions - Federal
          Federal Exemption under qualifying internal Revenue Code
             Section 501(c)                                                                                              Credit unions - State
                                                                                                                         Development Corporations
          Cemetery Corporations
                                                                                                                         Electric Cooperatives
          Certain insurance Corporations for Farm mutuals, local mutual Aid
             Associations and burial Associations                                                                        Emergency medical Service Corporations
                                                                                                                         Farmers Cooperative Societies
          Certain insurance Corporations licensed as Title insurance
             Companies and Title insurance Agents                                                                        Health Facility Development Corporations
                                                                                                                         Hospital laundry Cooperative Associations
          Certain Corporations Subject to the insurance Code
                                                                                                                         Housing Finance Corporations
          Chambers of Commerce
                                                                                                                         local Organizing Committees
          Convention and Tourist Promotional Agencies
                                                                                                                         lodges
          Cooperative Associations
                                                                                                                         marketing Associations
          Cooperative Credit Associations
                                                                                                                         Nonprofit Water Supply Corporations
          Corporations Exempted by Another law
                                                                                                                         Open-End investment Companies
          Corporations with business interest in Solar Energy Devices
                                                                                                                         Corporations Organized to Promote County, City or Another Area
          Corporations Organized for Agricultural Purposes
                                                                                                                            (Public interest Organizations)
          Corporations Organized for Conservation Purposes
                                                                                                                         Railway Terminal Corporations
          Corporations involved with City Natural Gas Facility
                                                                                                                         Recycling Operations
          Corporations Organized to Provide Cooperative Housing
                                                                                                                         Telephone Cooperatives
          Corporations Organized to Provide Convalescent Homes for
             Elderly                                                                                                     Volunteer Fire Departments
                                                                                                                         Youth Athletic Organizations
          Corporations Organized for Student loan Funds or Student
             Scholarship Purposes

2. ORGANiZATiON NAmE
   (legal name as provided on Articles of incorporation, or if unincorporated, the governing document.)




3. ORGANiZATiON mAiliNG ADDRESS
   Street number, P.O. box or rural route and box number



   City                                                                                    State/Province                                  ZiP Code                         County (or country, if outside the U.S.)




4. Texas taxpayer number (if applicable) ............................................................................................................................

5. Federal Employer identification Number (EiN) (Required if applying for exemption on the basis of a federal exemption) ......................

6. a) Enter filing information issued by the Texas Secretary of State:                                                                                                                Month    Day         Year

   File Number .............................................................                                              File Date................................................
        OR

   b)        Check this box if this organization is not registered with the Texas Secretary of State.

7. Contact information of the person submitting this application
   Name                                                                                                             E-mail Address



   Firm or Company Name                                                                                                           Daytime Phone (Area code and number)                        Extension
                                                                                                                                 (               )
   Address                                                                               City                                                      State                                      ZiP Code




   We will notify you by e-mail when the exemption has been added to let you know where the exemption can be verified online. if an e-mail address is not
   provided, indicate where our response should be mailed:       organization's mailing address or      mailing address of the submitter.

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9-1-1 Emergency Communications Forms

  • 1. TEXAS APPLICATION FOR EXEMPTION — FEDERAL AND ALL OTHERS SUSAN COMBS • TEXAS COMPTROLLER OF PUBLIC ACCOUNTS Texas tax laws provide exemptions from sales, franchise and/or hotel taxes for organizations meeting specific requirements. The exemptions available vary, depending upon the category of exemption under which the organization might qualify. Please use this application, Form AP-204, to apply for exemption if you are: • applying on the basis of the organization's designation as a qualifying 501(c) organization, or • applying on any basis OTHER THAN as a religious, charitable, educational organization or a homeowners' association. Separate applications are available for organizations applying for exemption as a religious (Form AP-209), charitable (Form AP-205), educational (Form AP-207) or homeowners association (Form AP-206). The applications, laws, rules and other information about exemptions are online at: www.window.state.tx.us/taxinfo/exempt Send the completed application along with all required documentation to: TExAS COmPTROllER OF PubliC ACCOuNTS Exempt Organizations Section P.O. box 13528 Austin, Tx 78711-3528 We will contact you within 10 working days after receipt of your application to let you know the status of your application. We may require an organization to furnish additional information to establish the claimed exemption. After a review of the material, we will inform the organization in writing if it qualifies for exemption. The Comptroller, or an authorized representative of the Comptroller, may audit the records of an organization at any time during regular business hours to verify the validity of the organization’s exempt status. if you have questions or need more information, contact our Tax Assistance staff at (800) 252-5555, or in Austin at (512) 463-4600. You have certain rights under Chapters 552 and. 559, Government Code, to review, request and correct information we have on file about you. Contact us at the address or toll-free number listed on this form. AP-204-1 (Rev.1-09/7)
  • 2. AP-204-2 PRINT FORM CLEAR FIELDS (Rev.1-09/7) TEXAS APPLICATION FOR EXEMPTION – FEDERAL AND ALL OTHERS • Remove All Staples • TYPE OR PRINT • Do NOT write in shaded areas. 1. Organizations applying for exemption under one of the categories listed below should check the appropriate box and complete this application. Our publication, Guidelines to Texas Tax Exemptions (96-1045), includes a description of the additional documentation required for each category of exemption. For the category you select, be sure to read the requirements listed in the publication. If you send in an application without including the documentation described in the publication, we will return the application to you with a request for additional information. We are unable to process incomplete applications. Credit unions - Federal Federal Exemption under qualifying internal Revenue Code Section 501(c) Credit unions - State Development Corporations Cemetery Corporations Electric Cooperatives Certain insurance Corporations for Farm mutuals, local mutual Aid Associations and burial Associations Emergency medical Service Corporations Farmers Cooperative Societies Certain insurance Corporations licensed as Title insurance Companies and Title insurance Agents Health Facility Development Corporations Hospital laundry Cooperative Associations Certain Corporations Subject to the insurance Code Housing Finance Corporations Chambers of Commerce local Organizing Committees Convention and Tourist Promotional Agencies lodges Cooperative Associations marketing Associations Cooperative Credit Associations Nonprofit Water Supply Corporations Corporations Exempted by Another law Open-End investment Companies Corporations with business interest in Solar Energy Devices Corporations Organized to Promote County, City or Another Area Corporations Organized for Agricultural Purposes (Public interest Organizations) Corporations Organized for Conservation Purposes Railway Terminal Corporations Corporations involved with City Natural Gas Facility Recycling Operations Corporations Organized to Provide Cooperative Housing Telephone Cooperatives Corporations Organized to Provide Convalescent Homes for Elderly Volunteer Fire Departments Youth Athletic Organizations Corporations Organized for Student loan Funds or Student Scholarship Purposes 2. ORGANiZATiON NAmE (legal name as provided on Articles of incorporation, or if unincorporated, the governing document.) 3. ORGANiZATiON mAiliNG ADDRESS Street number, P.O. box or rural route and box number City State/Province ZiP Code County (or country, if outside the U.S.) 4. Texas taxpayer number (if applicable) ............................................................................................................................ 5. Federal Employer identification Number (EiN) (Required if applying for exemption on the basis of a federal exemption) ...................... 6. a) Enter filing information issued by the Texas Secretary of State: Month Day Year File Number ............................................................. File Date................................................ OR b) Check this box if this organization is not registered with the Texas Secretary of State. 7. Contact information of the person submitting this application Name E-mail Address Firm or Company Name Daytime Phone (Area code and number) Extension ( ) Address City State ZiP Code We will notify you by e-mail when the exemption has been added to let you know where the exemption can be verified online. if an e-mail address is not provided, indicate where our response should be mailed: organization's mailing address or mailing address of the submitter.