50-116 (Rev. 8-03/8)
YEAR
[11.28 (12/89) Rule 9.415]
APPLICATION FOR PROPERTY TAX ABATEMENT EXEMPTION
Appraisal district name
Phone (area code and number)
Address
This application covers property you owned on January 1 of this year. You must file the completed application between
January 1 and April 30 of this year. Be sure to attach any additional documents requested. You must apply for this exemption
every year; it will not be automatically renewed.
Owner’s name
Step 1:
Owner’s
name and
Present mailing address
address
City, state, ZIP Code
Phone (area code and number)
Name of person preparing this application
Driver’s License, Personal I.D. Certificate, or
Title
Social Security Number*:
Type of owner
Individual
Association
Corporation
Nonprofit corporation
Leasehold
Legal description
Step 2:
Describe the
property
Appraisal district account number (Optional)
If you applied
Please list the taxing units that have agreed to abate your taxes and attach copies of the abatement agreement for each unit.
last year and
nothing has
changed,
and/or your
agreement(s)
were not
Are the terms and duration of each taxing unit’s agreement different or identical?
modified, skip
Different
Identical
this step and
Step 3. Sign in
If different, please copy this form for each taxing unit and complete Step 2 for each unit. In the area where you listed the
the renewal
taxing units, please circle the taxing unit that you are summarizing.
section below.
If identical, please describe the nature of the abatement agreements for this year by completing the following:
Lump sum exemption of $ ________________
If you complete
Step 2 with
Percentage exemption of _________________ %
attachments,
Other (Attach a statement describing the method of calculating abatement. Give dollar value to be exempted this year.)
return to this
original page
Yes
No
Does the agreement abate taxes on personal property? ..............................................
to complete
Yes
No
Are you in compliance with the agreement? .................................................................
Step 3.
If “No,” attach a statement explaining the reason for non-complance.
By signing this application, you certify that this information is true and correct to the best of your knowledge and belief.
Step 3:
Sign and
Authorized signature
Date
date the
application
On behalf of (name of organization)
Title
I certify that the information given in the application filed for ______ is still true and correct to the best of my knowledge and
RENEWAL
belief.
of existing
Authorized signature
Date
exemption
On behalf of (name of organization)
Title
If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a
state jail felony under Texas Penal Code Section 37.10.
*
You are required to give us this information on this form, in order to perform tax related functions for this office. Section 11.43 of the Tax Code authorizes this office to request
this information to determine tax compliance. The chief appraiser is required to keep the information confidential and not open to public inspection, except to appraisal office
employees who appraise property and as authorized by Section 11.48(b), Tax Code.