This government document is issued by Historical Commission (THC) for use in Texas
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https://www.google.com/url?client=internal-element-cse&cx=004905124693252667962:sxyaskemxxg&q=https://www.thc.texas.gov/public/upload/forms/TTBA%2520PDF%2520Form_Revised%25202022.pdf&sa=U&ved=2ahUKEwjXn5Ko87uFAxVLhP0HHTLNA4A4PBAWegQIAxAB&usg=AOvVaw1_H82i26Y7tzLgIE3HTGzR&arm=e