Form 50-141 - General Real Property Rendition Of Taxable Property - 2010 Page 3

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Form

Texas Comptroller of Public Accounts

50-141

SECTION 3: Real Property Information (continued)

List and describe all buildings and other improvements on the land:

$_____________________________________

Property Owner’s Estimate of Total Market Value

for All the Property Described in this Rendition (Optional)**

** Although rendering a value is not required, such action entitles the property owner to be notified if an appraised value greater than the rendered value is

to be submitted to the appraisal review board (Tax Code Section 25.19). Property owners may protest appraised values before the appraisal review board.

SECTION 4: Affirmation and Signature

NOTICE REGARDING PENALTIES FOR MAKING OR FILING A REPORT CONTAINING A FALSE STATEMENT: If you make a false statement on

this form, you could be found guilty of a Class A misdemeanor or a state jail felony under Section 37.10, Penal Code.

______________________________________________________________

, swear or affirm the following:

Printed Name of Authorized Individual

1. that the information provided in this report is true and accurate to the best of my knowledge and belief;

2. that I am authorized as required by law to file and sign this report; and

3. that I have read and understand the Notice Regarding Penalties for Making or Filing a Report Containing a False Statement.

NOTE: If the person filing and signing this report is not the property owner, an employee of the property owner, an employee of a property owner signing

on behalf of an affiliated entity of the property owner or a secured party as defined by Tax Code Section 22.01, the signature below must be notarized.

_______________________________________________

________________________________________

Signature of Authorized Individual

Date

__________

____________________

_______

Subscribed and sworn before me this

day of

, 20

___________________________________________________

Notary Public, State of Texas