Form 50-124 - Application For Stored Offshore Drilling Rig Exemption Page 2

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Complete Form 50-124 - Application For Stored Offshore Drilling Rig Exemption with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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P r o p e r t y T a x

A p p l i c a t i o n f o r S t o r e d O f f s h o r e D r i l l i n g R i g E x e m p t i o n

Form 50-124

Step 3: Describe the Property for Which You are Seeking an Exemption

Is the location in a

county bordering

Description

the Gulf of Mexico or

Is this item stored for

Is this item being used

(appraisal district account number

on a body of water

repairs or maintenance

to drill a well where it is

if known)

Location

continguous to the Gulf?

only?

stored?



Yes



Yes



Yes



Yes



Yes



Yes



Yes



Yes

Step 5: Provide Additional Information

Attach picture(s) and invoices for device, installation and construction. If business personal property, attach a copy of rendition.

Step 6: Read, Sign, and Date

By signing this application, you certify that the information provided in this application is true and correct to the best of your knowledge and belief.

____________________________________________________________________

____________________________

Authorized Signature

Date

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 Section 37.10,

Penal Code.

For more information, visit our Web site:

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