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TEXAS SAFES AND USE TAX PERMIT <br />This permit is not transferable, and this side must be prominently displayed in your place of business. <br />You mayneed to colkct safes and/or use taxfor other lata! twang euI1Whhes depending on your type of business <br />For additional information, see "Collecting LocalSafes and Use Tarx" sechon an the back of this document. <br />If you have any questions regarding sales tax, vist our websiie at www.compiroller,texas.gov or call us at 1-800-252-5555. <br />Detach here and prominently display your permit only. Retain the portion below for your records. fl,.3�Pa <br />to the Information Printed on this Permit Correct? <br />The information printed on your permit is public information. It must be accurate and current. If there is <br />an error, make corrections on the form below. Enter the correct information for incorrect items only. <br />Detach the form and mail it to: <br />Comptroller of Public Accounts <br />111 E. 171h Street <br />Austin, TX 78774-0100 <br />More helpful information about your permit is on the back of this document. <br />Texas Sales and Use Tex Permit Corrections Form <br />Taxpa or name shmm on the permit <br />GR� BN E SOR 1. LLC If you need to make changes to <br />number on iho,Pormit Location nu rrd shown an the pc�rttut your local sales tax authorities <br />32046522044 00002 or to the NATCS code printed <br />taxpayer nu �9 � on your permit, see Information <br />Carect�stn on name <br />on the back of this form. <br />Gorreet business bcatian (no P,Q. Box or directions eccepledl <br />City State ZIP code <br />�.�__._.._ _._. �, 'o ._. <br />Coned taxpayer name TB-9 <br />phone (A -ea csade'a�numeber) <br />Gcrredmailingaddress <br />city Stirte 2tp coda Federal t raptoyer Identification Number <br />E tME�Q,� <br />If you are no longer in bminaae, enter the date at your last business transection <br />Sign <br />Taxpayer cc authorized agent Dale <br />1�E <br />00000016; <br />