TEXAS ETHICS COMMISSION
PERSONAL FINANCIAL STATEMENT EXTENSION REQUEST FORM

(For Texas Ethics Commission Filers Only)

Due Date with Extension: June 30, 2014
Due Date without Extension: April 30, 2014

COMPLETE THE FOLLOWING:

Filer's Account Number:

   (If you do not know the account number, enter zeros.)
Filer Name:

Address:
City, State, ZIP Code:    


 Check here if this is a change of address
Filer's Agency, Office,
or Position:


Filer's Email Address:  


(An email address is required in order to receive an electronic confirmation of your extension request. Only one email address may be entered. If you do not have an email address, enter N/A.)
   Check here to receive email reminders about this filing deadline.  Reminders will be sent to the email address provided above.
Person Requesting Extension:
Phone Number of Person
Requesting Extension:

  

Texas.gov | Texas Homeland Security | Statewide Search | Site Policies