PURPOSE OF THIS APPLICATION - Texas Department of State ... - dshs state tx 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your business name under which it is conducted (DBA) in the designated field.
3. Fill in the physical address to be licensed, including city, county, state, and zip code.
4. Provide a telephone number at the address for contact purposes.
5. Mark all applicable boxes under 'PRODUCTS DISTRIBUTED' to indicate the types of products you will distribute. Remember, you must check two or more boxes.
6. Select your primary activity by checking ONE box that reflects your highest gross annual sales.
7. Complete the fee schedule section based on your combined gross annual sales and ensure you understand any late fees that may apply.
8. Sign and date the verification section, confirming that all information provided is accurate and complete.

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