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Blank Texas Reg 200 PDF Template

The Texas Reg 200 form is an Egg License Application required by the Texas Department of Agriculture for businesses involved in the egg industry. This form facilitates the licensing process for new businesses and those changing ownership. Completing the Texas Reg 200 ensures compliance with state regulations and helps maintain public safety standards.

Open Form

Contents

Form Example

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
Limited Partnership	Organization	Date (mm/dd/yy)	Initials
General Partnership		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
			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
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
	Address

	City	State	Zip
SEC.
SEC.	Web Address of Business (optional)
	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

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Common mistakes

Inaccurate Business Information: Many applicants mistakenly provide incorrect or incomplete information about their business type or legal name. This can lead to confusion and delays in processing.
Missing Required Identifications: Failing to include necessary identification numbers, such as the Social Security Number for sole proprietors or the Federal Taxpayer ID for out-of-state businesses, is a common oversight. This omission can hinder the application process.
Neglecting the Email Requirement: Some individuals overlook the importance of providing a valid email address. Without it, applicants may miss critical updates or renewal notices that could impact their compliance with state regulations.
Improper Designation of Responsible Person: It is essential to accurately list the primary responsible person for the business. Errors in this section can lead to miscommunication and issues with the license.
Incomplete Payment Information: Applicants often fail to include the correct payment method or amount. Incomplete payment details can result in the application being considered invalid.

Key takeaways

Filling out the Texas Reg 200 form for an Egg License can seem daunting at first, but understanding its components can simplify the process significantly. Here are some key takeaways to keep in mind:

Application Types: You can apply for a new business license or report a change of ownership. Be sure to indicate your choice clearly in Section A.
Business Structure: Specify your business type accurately. Options include corporation, sole proprietorship, limited liability company, and others.
Client Information: Provide the full legal name of the business. If you are a sole proprietor, use your name without any aliases.
Tax Identification: Include your Comptroller Taxpayer ID number if you are based in Texas. Out-of-state businesses must provide a Federal Taxpayer ID number.
Responsible Person: Clearly list the primary person responsible for the business. This could be the owner, president, or managing partner, depending on your business structure.
Public Record: Remember that the information you provide will become public record. You have the right to request and review this information.
Facility Information: Provide the physical address of your business location. This should not be a P.O. Box.
Out-of-State Applicants: If your business is located outside Texas, you must designate a resident agent within Texas. This is a legal requirement.
Business Classification: Depending on your operations, indicate whether you are a dealer-wholesaler or processor. Each classification has specific requirements.
Payment Instructions: Ensure you include the correct fee with your application. Registration is not valid until approved by the Texas Department of Agriculture.

By following these guidelines, you can navigate the Texas Reg 200 form more effectively. Remember, attention to detail is crucial to avoid delays in processing your application.

⇓ Texas Reg 200 PDF

Steps to Using Texas Reg 200

Filling out the Texas Reg 200 form is a straightforward process. This form is essential for those looking to apply for an egg license in Texas. To ensure that your application is complete and accurate, follow these steps carefully.

Begin by indicating the type of application you are submitting in Section A. Choose either "New Business" or "Change of Ownership" and provide the previous account number if applicable.
In Section B, specify your business type. Options include Corporation, Sole Proprietorship, Limited Liability Company, and others. Make sure to provide the organization date.
Fill out your client information in Section C. Include the full legal business name, DBA (if applicable), and the appropriate taxpayer ID numbers.
For sole proprietorships, provide your Social Security Number or attach the required affidavit if you do not have one. If you do not have an SSN, include your driver's license number or Texas state-issued ID number.
In Section D, provide the responsible person's information. This includes their full legal name, phone number, and email address. Make sure this person is the primary contact for the business.
Also in Section D, complete the mailing address for the responsible person and the facility information, including the physical address where the licensed activities will occur.
If you are an out-of-state applicant, designate a resident agent in Section E. Provide their name and address.
In Section G, choose your business classification. If you are a dealer-wholesaler or processor, complete the relevant sections and provide your estimated average weekly volume.
Proceed to Section H to provide your payment information. Include the method of payment and the amount you are remitting.
Finally, in Section I, sign and date the application. Ensure that you certify the truthfulness of the information provided.
Use the checklist at the end to confirm that all necessary documents and fees are included before submitting your application.

After completing the form, review it to ensure all information is accurate. Submit your application along with any required fees to the Texas Department of Agriculture at the address provided. It's important to keep a copy for your records. Processing times may vary, so stay informed about your application's status.