Blank Texas Reg 200 PDF Form

Blank Texas Reg 200 PDF Form

The Texas Reg 200 form is the official Egg License Application required by the Texas Department of Agriculture for businesses involved in egg production and distribution. Completing this form accurately is crucial for compliance with state regulations. If you need to fill out the Texas Reg 200 form, please click the button below.

The Texas Reg 200 form serves as a crucial document for individuals and businesses seeking to obtain an egg license in the state of Texas. This application is managed by the Texas Department of Agriculture and is essential for various types of entities, including corporations, sole proprietorships, and partnerships. Applicants must indicate whether they are applying for a new business or changing ownership of an existing account. The form requires detailed client information, including the legal business name, taxpayer identification numbers, and contact details for responsible individuals. Additionally, applicants must provide facility information, including the physical address where licensed activities will take place. For those based out of state, designating a resident agent in Texas is a requirement. The form also includes sections that specify business classification, whether as a dealer-wholesaler or processor, and outlines the associated fees based on estimated weekly volumes. Finally, applicants must certify the accuracy of the information provided and submit payment to complete the licensing process. Ensuring all sections are filled out correctly is vital, as incomplete applications may lead to processing delays.

Document Sample

P.O. Box 12076 Austin, Texas 78711 ￿ (877) 542-2474￿ (512) 463-7476 ￿

Hearing impaired: (800) 735-2988 voice ￿ www.agr.state.tx.us

Texas Department of Agriculture

Egg License Application

REG-200

 

TODD STAPLES, COMMISSIONER

1TYPE OF APPLICATION

SECTION A

SECTION B

 

New Business

Change of Ownership – previous account number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2 BUSINESS TYPE

 

 

 

TDA USE ONLY

 

 

 

 

 

Corporation

Sole Proprietorship

 

 

Client No.

 

 

Account No.

 

 

 

Limited Liability Co.

Government

 

 

 

 

 

 

 

 

 

 

Limited Partnership

Organization

 

 

 

 

 

 

 

 

 

 

 

 

Date (mm/dd/yy)

 

 

Initials

 

 

 

General Partnership

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3CLIENT INFORMATION

Full legal business name (owner’s name if sole proprietor – no aliases)

D.B.A. (if applicable)

Comptroller Taxpayer ID No.(In-state businesses only) Federal Taxpayer ID No. (Out-of-state businesses only)

SOLE PROPRIETORSHIP ONLY

Social Security No. (SSN - Required)

If you do not have an SSN you must a attach form Affidavit for

-

-

Occupational License - No Social Security Number (OGC-001)

 

 

available at http://www.agr.state.tx.us

 

 

Driver License No. ____________________ (if SSN is not available)

 

TX

 

State Issued ID No. ____________________ (if DL is not available)

 

Other

 

 

 

 

 

1RESPONSIBLE PERSON INSTRUCTIONS

Please list the full legal name (no aliases or nicknames) of the primary person responsible for the business, as indicated:

￿￿For a corporation, limited liability company, or cooperative, the president or CEO,

￿￿For a limited or general partnership, the managing partner or general manager,

￿￿For a sole proprietorship, the owner,

￿￿For any other type of business, the general manager.

2RESPONSIBLE OFFICER, PARTNER, MANAGER, OR OWNER

First Name

 

 

M. I.

Last Name

Phone No.

 

 

 

E-mail

 

 

 

(

)

-

Ext.

 

This document becomes public record and is subject to disclosure. With few exceptions, you have the right to request and be informed about the information that the State of Texas collects about you. You are entitled to receive and review the information upon request. You also have the right to ask the state agency to correct any information that is determined to be incorrect. (Reference: Government Code, Sections 552.021, 552.023, and 559.004.)

Licensing Department

Revised 3/1/12

Administrative Services Division

 

Occupational

 

REG-200 Egg License Application

 

Page 2 of 4

Legal Business Name ______________________________

 

 

 

 

 

 

 

 

 

3 RESPONSIBLE PERSON MAILING ADDRESS

 

 

(CONT’D.)B

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip

SEC.

 

 

 

 

 

Web Address of Business (optional)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1PERSON TO CONTACT FOR LICENSE-RELATED MATTERS

 

First Name

 

 

M. I.

Last Name

 

 

 

 

 

 

 

 

Primary Phone

 

 

Secondary Phone (optional)

 

(

)

-

Ext.

(

)

-

Ext.

 

 

 

 

 

 

 

 

 

 

Fax (optional)

 

 

 

 

 

 

 

C

(

)

-

Ext.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION

E-mail Address

 

 

 

 

 

 

 

***Important Note*** I understand that my email address is required for the Texas Department of Agriculture to keep me

informed of critical information, including licensing and regulatory updates; renewal invoices; and other important

 

communications. Failure to provide an email address may result in my not receiving time-sensitive information that could

 

affect my compliance with state regulations, thereby, resulting in monetary penalties.

 

2MAILING ADDRESS Address

City

State

Zip

1FACILITY INFORMATION

Facility Name

SECTION D

2PHYSICAL ADDRESS OF LOCATION OF LICENSEE, LICENSED ACTIVITIES OR EQUIPMENT

Address (No P.O. Box)

City

State

Zip

County

 

 

 

 

Directions to Physical Location if address above is difficult to find

Licensing Department

Revised 3/1/12

Administrative Services Division

 

Occupational

 

REG-200 Egg License Application

Page 3 of 4

Legal Business Name ______________________________

 

SECTION E

1OUT-OF-STATE APPLICANTS ONLY

An applicant for an Egg license whose principal place of business is situated outside the State of Texas must appoint and designate a resident citizen of Texas as said applicant’s resident agent within Texas. This information is REQUIRED if the address provided in Section C is out of state.

Who do you wish to designate as resident agent? The Texas Secretary of State Other (list below) Resident Agent Name

Resident Agent Address

City

Zip

Business Phone

 

 

(

)

-

 

 

 

 

 

SEC. F

SECTION G

1BUSINESS CLASSIFICATION

Dealer-Wholesaler – Complete Section G, #1

Processor – Complete Section G, #2

Broker ($420) – Please skip to Section H

Retailers selling eggs directly to consumers are not required to obtain a license.

1DEALER-WHOLESALER CLASS

Are you a packer?

Yes

No

If yes, please provide USDA Plant No. (if applicable) ________________________

Estimated Average Weekly Volume (check only one)

Class 1

($20)

– 1 case (30 dozen eggs) or more, but less than 10 cases

Class 2

($40)

– 10 cases or more, but less than 50 cases

Class 3

($60)

– 50 cases or more, but less than 100 cases

Class 4

($100) – 100 cases or more, but less than 200 cases

Class 5 ($180)

– 200 cases or more, but less than 500 cases

Class 6 ($270)

– 500 cases or more, but less than 1,000 cases

Class 7

($360) –

1,000 cases or more, but less than 1,500 cases

Class 8

($720) –

1,500 cases or more, but less than 3,000 cases

Class 9

($900) –

3,000 cases or more, but less than 4,500 cases

Class 10 ($1200)

– 4,500 cases or more, but less than 7,000 cases

Class 11 ($1800)

– 7,000 cases or more, but less than 10,000 cases

Class 12 ($2400)

– 10,000 cases or more

2PROCESSOR CLASS

Estimated Average Weekly Volume (check only one)

Class 1

($60) – Less than 250 cases per week

Class 2

($120)

– 250 cases or more, but less than 600 cases

Class 3

($210)

– 600 cases or more, but less than 1,500 cases

Class 4

($420)

– 1,500 cases or more

Licensing Department

Revised 3/1/12

Administrative Services Division

 

Occupational

 

REG-200 Egg License Application

Page 4 of 4

Legal Business Name ______________________________

 

SECTION H

SECTION I

SECTION J

1PAYMENT

Please see instructions for applicable fees.

 

 

 

REGISTRATION IS NOT VALID UNTIL APPROVED BY TDA.

 

 

 

Method of Payment

(payable to Texas Department of Agriculture)

 

 

 

Check #

 

 

Cashier’s Check #

 

 

 

Money Order #

 

 

 

 

 

Amount remitted

 

 

 

 

Mail to: Texas Department of Agriculture

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

P.O. Box 12076, Austin, TX 78711-2076

 

 

 

 

 

 

 

 

 

 

 

 

TDA USE ONLY

 

Receipt No.

 

 

Date Receipt Issued

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1SIGNATURE

The applicant, by and through their personal or agent's signature below (1) certifies that all information provided in connection with this application at any time is true and correct to the best of the applicant's knowledge; (2) acknowledges that any misrepresentation or false statement made by the applicant, or an authorized agent of the applicant, in connection with this application, whether intentional or not, will constitute grounds for denial, revocation, or non-renewal of any license issued pursuant to this application and/or assessment of monetary administrative penalties; and (3) if applying as an individual, further acknowledges that this application may be denied and that any license issued pursuant to this application may be suspended, revoked, or denied renewal due to delinquency in payment of a guaranteed student loan and that any license issued pursuant to this application may be suspended or denied renewal for failure to pay child support. If signed by an agent (including employee) of the applicant, the person signing certifies that he or she is authorized to make the preceding certifications on behalf of the applicant.

Applicant Name

Title

 

 

Applicant Signature

Date

/

/

 

month

day

year

 

 

 

 

1CHECKLIST

Please use this checklist to ensure you are sending all of the necessary information and documents.

Egg License Application

Fee (see instructions for assistance with calculating the correct fee.)

Please note that an incomplete application may result in processing delays.

Licensing Department

Revised 3/1/12

Administrative Services Division

 

Occupational

 

File Specifics

Fact Name Details
Purpose The Texas Reg 200 form is used to apply for an Egg License in Texas.
Governing Law This form is governed by the Texas Agriculture Code.
Contact Information Applicants can reach the Texas Department of Agriculture at (877) 542-2474.
Application Types It allows for new business applications and changes of ownership.
Public Record Information submitted becomes public record and can be disclosed.
Out-of-State Applicants Must designate a Texas resident as a resident agent for business matters.

How to Use Texas Reg 200

Filling out the Texas Reg 200 form is a straightforward process, but attention to detail is crucial. Each section requires specific information about your business and its operations. Once you have completed the form, you will be ready to submit it to the Texas Department of Agriculture for review and approval.

  1. Obtain the Form: Download the Texas Reg 200 form from the Texas Department of Agriculture website or request a physical copy.
  2. Type of Application: In Section A, indicate whether you are applying for a new business or changing ownership. If changing ownership, provide the previous account number.
  3. Business Type: In Section B, select the appropriate business type, such as Corporation, Sole Proprietorship, or Limited Liability Company.
  4. Client Information: Fill in the full legal business name and any "Doing Business As" (D.B.A.) name if applicable. Include the Comptroller Taxpayer ID and Federal Taxpayer ID numbers as required.
  5. Responsible Person: In Section C, provide the full legal name of the primary responsible person for the business, including their contact details.
  6. Mailing Address: Enter the mailing address where you want to receive correspondence from the Texas Department of Agriculture.
  7. Facility Information: In Section D, include the facility name and the physical address where licensed activities will take place. Directions may be necessary if the location is hard to find.
  8. Out-of-State Applicants: If your business is based outside Texas, appoint a resident agent within Texas and provide their contact information in Section E.
  9. Business Classification: Choose your business classification in Section G. If you are a dealer-wholesaler, answer whether you are a packer and indicate your estimated average weekly volume.
  10. Payment: In Section H, specify your method of payment and the amount you are submitting. Ensure that it is payable to the Texas Department of Agriculture.
  11. Signature: Sign and date the application in Section I, certifying that all information is accurate and complete.
  12. Checklist: Before mailing, use the checklist in Section J to confirm that you have included all necessary information and documents.

After completing these steps, ensure that you send the form to the Texas Department of Agriculture at the provided address. Keep a copy of the application for your records. This will help you track your submission and provide a reference in case of any follow-up inquiries.

Your Questions, Answered

What is the Texas Reg 200 form?

The Texas Reg 200 form is an application for an Egg License issued by the Texas Department of Agriculture. This license is necessary for businesses involved in the sale, processing, or distribution of eggs within Texas. It helps ensure that all operations comply with state regulations regarding food safety and quality.

Who needs to fill out the Texas Reg 200 form?

Any business that sells, processes, or distributes eggs in Texas must complete the Texas Reg 200 form. This includes various types of businesses such as corporations, sole proprietorships, limited liability companies, and partnerships. Retailers selling eggs directly to consumers do not need a license, but all other entities must apply.

How do I submit the Texas Reg 200 form?

To submit the Texas Reg 200 form, you need to fill it out completely and include any required documentation. After completing the form, mail it along with the appropriate fee to the Texas Department of Agriculture at P.O. Box 12076, Austin, TX 78711. Ensure that you check for completeness to avoid processing delays.

What fees are associated with the Texas Reg 200 form?

The fees for the Egg License vary based on the volume of eggs your business handles. For example:

  • Class 1: $20 for 1 case (30 dozen) or more, but less than 10 cases
  • Class 2: $40 for 10 cases or more, but less than 50 cases
  • Class 12: $2400 for 10,000 cases or more

Refer to the instructions included with the form for the full fee schedule and ensure you submit the correct amount.

What information do I need to provide on the form?

The Texas Reg 200 form requires several pieces of information, including:

  1. Your business name and type (e.g., corporation, sole proprietorship).
  2. The responsible person's name and contact details.
  3. The physical address of your business location.
  4. Your taxpayer identification numbers (both state and federal, if applicable).

Providing accurate and complete information is crucial for the approval of your application.

How long does it take to process the Texas Reg 200 form?

Processing times can vary, but it typically takes several weeks. Factors such as the volume of applications received and the completeness of your submission can affect the timeline. To avoid delays, ensure that your application is filled out correctly and all required documents are included.

What happens if my application is denied?

If your application for the Egg License is denied, you will receive a notification explaining the reasons for the denial. You may have the opportunity to correct any issues and resubmit your application. Additionally, you can appeal the decision if you believe it was made in error.

Can I update my information after submitting the form?

Yes, if there are any changes to your business information after submitting the Texas Reg 200 form, you should contact the Texas Department of Agriculture to update your records. Keeping your information current is important for compliance and to receive timely communications regarding your license.

Common mistakes

  1. Not Providing Complete Business Information: Many applicants forget to include the full legal business name. This is crucial for processing the application. If you're a sole proprietor, use your name without any aliases.

  2. Missing Required Identification Numbers: In-state businesses need to include their Comptroller Taxpayer ID. Out-of-state businesses should provide their Federal Taxpayer ID. Omitting these numbers can delay your application.

  3. Incorrectly Filling Out Contact Information: It's important to provide accurate contact details for the person responsible for the license. Double-check the phone numbers and email addresses to ensure you receive important updates.

  4. Ignoring the Payment Instructions: Applicants sometimes overlook the payment section. Make sure to include the correct payment method and amount. An incomplete payment can lead to processing delays.

Documents used along the form

The Texas Reg 200 form is an essential document for individuals and businesses seeking to obtain an egg license from the Texas Department of Agriculture. However, several other forms and documents often accompany this application to ensure compliance with state regulations. Below is a list of these related documents, each serving a specific purpose in the licensing process.

  • Affidavit for Occupational License - No Social Security Number (OGC-001): This form is required for applicants who do not possess a Social Security Number. It serves as a declaration to the Texas Department of Agriculture, allowing the applicant to proceed with the licensing process.
  • Resident Agent Designation Form: Out-of-state applicants must appoint a resident agent in Texas. This form provides the name and contact information of the designated agent, ensuring that the applicant can receive legal notifications and correspondence from the state.
  • Business Entity Registration: Before applying for the egg license, businesses must be properly registered with the Texas Secretary of State. This document verifies the legal status of the business entity, whether it is a corporation, LLC, or partnership.
  • USDA Plant Number Documentation: For businesses that operate as packers, this documentation provides the USDA Plant Number. It is essential for compliance with federal regulations regarding egg processing and distribution.
  • Payment Method Documentation: Applicants must include a method of payment with their application. This document indicates whether the payment is made via check, cashier's check, or money order, ensuring that the application fee is processed correctly.
  • Checklist for Application Submission: This checklist helps applicants ensure that all necessary documents and information are included with the application. It reduces the risk of processing delays due to incomplete submissions.
  • Facility Inspection Report: Depending on the type of business, an inspection report may be required to confirm that the facility meets health and safety standards. This document is crucial for maintaining compliance with state regulations.

These accompanying documents play a vital role in the licensing process, helping to streamline the application and ensure compliance with state and federal regulations. Properly completing and submitting these forms can significantly impact the success of obtaining an egg license in Texas.

Similar forms

The Texas Reg 200 form, which serves as an Egg License Application, shares similarities with the Food Establishment Permit Application. Both documents require applicants to provide detailed information about their business operations and ownership structure. The Food Establishment Permit Application also asks for the legal business name, contact information, and the nature of the business. This ensures that the state can effectively monitor and regulate food safety standards, much like the egg licensing process aimed at maintaining quality in the egg production industry.

Another similar document is the Texas Alcoholic Beverage Commission (TABC) Permit Application. Like the Reg 200 form, the TABC application requires comprehensive details about the business type, ownership, and responsible parties. Both forms are designed to ensure compliance with state regulations and to protect public health and safety. The TABC application also mandates a signature from the applicant, affirming the accuracy of the information provided, mirroring the certification aspect found in the Reg 200 form.

The Texas Sales Tax Permit Application is another comparable document. This application collects essential information such as the legal business name, address, and ownership details. Both the Sales Tax Permit and the Reg 200 form serve to register businesses with the state, ensuring that they comply with tax obligations and regulatory requirements. Each application also includes sections for business classification, helping state agencies categorize businesses for oversight purposes.

In addition, the Texas Business License Application shares similarities with the Reg 200 form. Both documents require information about the business structure, ownership, and contact details. The Business License Application is crucial for establishing the legitimacy of a business within the state, just as the Reg 200 form is necessary for egg-related operations. Each form also outlines the consequences of providing false information, emphasizing the importance of accuracy in the licensing process.

The Texas Pesticide Applicator License Application is another document akin to the Reg 200 form. Both applications require detailed information about the applicant and the business, including responsible parties and contact information. The Pesticide Applicator License is necessary for those applying pesticides in agricultural settings, similar to how the Reg 200 form regulates the egg industry. Each form ensures that applicants are qualified and compliant with state regulations to protect public health and the environment.

The Texas Health Department's Restaurant License Application is also similar. It gathers essential information about the business, including ownership and operational details. Both forms are intended to ensure compliance with health and safety regulations. The Restaurant License Application focuses on food service establishments, while the Reg 200 form pertains specifically to egg production, but both aim to uphold industry standards and protect consumers.

The Texas Vehicle Registration Application shares some structural similarities with the Reg 200 form. Both require detailed applicant information, including legal business names and contact details. While the Vehicle Registration Application is focused on motor vehicles, the underlying principle of registering with the state to ensure compliance remains consistent. Each form serves as a means of maintaining accurate records for regulatory purposes.

The Texas Occupational License Application is another document that resembles the Reg 200 form. Both applications require information about the business structure and ownership, as well as contact details for responsible parties. The Occupational License Application is necessary for various professions, ensuring that practitioners meet state standards, similar to how the Reg 200 form ensures egg producers comply with industry regulations.

Lastly, the Texas Nonprofit Organization Registration Form is comparable to the Reg 200 form in terms of information collection. Both documents require details about the organization’s structure, including the names of responsible individuals. While the Nonprofit Registration focuses on charitable organizations, the objective remains the same: to ensure transparency and accountability in operations, akin to the regulatory oversight provided by the egg licensing process.

Dos and Don'ts

When filling out the Texas Reg 200 form, attention to detail is crucial. Below are important do's and don'ts to consider for a smooth application process.

  • Do ensure all sections are completed accurately. Missing information can lead to delays.
  • Do provide a valid email address. This is essential for receiving important updates regarding your application.
  • Do double-check the business classification you select. This affects your licensing requirements and fees.
  • Do include the correct payment method. Make sure to check the instructions for applicable fees.
  • Don't use aliases or nicknames in the business name section. The legal business name must be provided.
  • Don't submit the application without reviewing it thoroughly. Errors can lead to rejection.
  • Don't forget to sign the application. An unsigned application will not be processed.
  • Don't ignore the checklist provided at the end of the form. It helps ensure all necessary documents are included.

Misconceptions

  • Misconception 1: The REG 200 form is only for large businesses.

    This form is designed for all types of egg-related businesses, whether small or large. Even sole proprietors need to complete it to comply with state regulations.

  • Misconception 2: Submitting the form guarantees immediate approval.

    Approval is not automatic. The Texas Department of Agriculture reviews each application, and it may take time to process. Always allow for potential delays.

  • Misconception 3: Only Texas residents can apply for an egg license.

    While applicants with out-of-state businesses must designate a Texas resident as an agent, they are still eligible to apply for the license.

  • Misconception 4: The REG 200 form can be submitted without payment.

    Payment is a crucial part of the application process. The application is not valid until the appropriate fees are paid, so ensure you include payment with your submission.

  • Misconception 5: Email addresses are optional on the application.

    Providing an email address is mandatory. The Texas Department of Agriculture uses it to communicate important information, including updates and renewal notices.

  • Misconception 6: The REG 200 form does not require a physical address.

    A physical address is essential for the license application. Applicants must provide the location where licensed activities will occur.

  • Misconception 7: The application can be completed without accurate information.

    All information must be true and correct. Misrepresentation can lead to denial or revocation of the license, so it’s vital to double-check your entries.

  • Misconception 8: Only one person can be listed as the responsible party.

    While a primary responsible person must be designated, additional contacts can be included. This ensures that multiple people can receive important communications regarding the license.

Key takeaways

When filling out the Texas Reg 200 form for an Egg License Application, keep these key takeaways in mind:

  • Accurate Information is Crucial: Ensure that all information provided, including business names and contact details, is accurate. Any discrepancies could lead to processing delays or even denial of the application.
  • Understand Your Business Type: Identify the correct business type, whether it’s a corporation, sole proprietorship, or partnership. This classification affects how you complete the form and the fees associated with your application.
  • Designate a Responsible Person: Clearly list the full legal name of the primary person responsible for the business. This could be the owner or a designated manager, depending on your business structure.
  • Provide Required Payment: Include the appropriate fee with your application. Remember, registration is not valid until it has been approved by the Texas Department of Agriculture.