Form 50-141 - General Real Property Rendition Of Taxable Property - 2010 Page 2

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Form

Texas Comptroller of Public Accounts

50-141

SECTION 2: Party Filing Report

Indicate the capacity or status of the party filing this report.



Property Owner

Secured Party



Employee of Property Owner

Fiduciary



Authorized Agent

Other

_____________________________



Employee of Property Owner On Behalf Of Affiliated

Entity of the Property Owner

____________________________________________________________________

____________________________

Name of party (i.e. business name) filing this report

Phone (area code and number)

___________________________________________________________________________________________________

Mailing Address, City, State, ZIP Code

NOTE: Pursuant to Tax Code Section 22.26(b), when a corporation is required to file this report, an officer of the corporation or an employee or agent who

has been designated in writing by the board of directors or by an authorized officer to sign in behalf of the corporation must sign the report.

____________________________________________________________________

____________________________

Name of individual authorized to sign this report

Title or Position

_____________________________________

____________________________________________________________

Phone Number (area code and number)

Email Address*

Complete if applicable.



______________

By checking this box, I affirm that the information contained in the most recent rendition statement filed in

continues to be

(Prior tax year)

complete and accurate for the current tax year.

Complete if applicable.

A secured party filing this report must:

•

have the property owner’s consent;

•

have a security interest on Jan. 1 in the property which has an historical cost when new of over $50,000; and

•

meet the filing requirements of Tax Code Section 22.01.



Are all of these requirements met? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

SECTION 3: Real Property Information

Provide the following information for the real property being rendered.

___________________________________________________________________________________________________

Appraisal District Account Number or Property Identification Number (if known)

___________________________________________________________________________________________________

Physical Address (i.e. street address, not P.O. Box), City, County, ZIP Code

___________________________________________________________________________________________________

Legal Description (if known)

___________________________________________________________________________________________________

Number of Acres of Land (or fraction of an acre) or Lot Size

comptroller.texas.gov/taxes/property-tax