Form 50-114 - Residence Homestead Exemption Application Page 4

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Form

Texas Comptroller of Public Accounts

50-114

Indicate if you request that the chief appraiser waive the requirement that the address of the property for which the exemption is claimed corresponds to

the address listed on your driver’s license or state-issued personal identification certificate:



I am an active duty member of the armed services of the United States or the spouse of an active duty member. Attached are a copy of my military

identification card or that of my spouse and a copy of a utility bill for the property subject to the claimed exemption in my name or my spouse’s

name.



I hold a driver’s license issued under Transportation Code Section 521.121(c) or 521.1211. Attached is a copy of the application for that license

to the Texas Department of Transportation.

For an AGE 65 OR OLDER OR DISABLED PERSON exemption:

In addition to the information identified above, an applicant for an age 65 or older or disabled exemption who is not specifically identified on a deed or

other instrument recorded in the applicable real property records as an owner of the residence homestead must provide an affidavit (see last page) or

other compelling evidence establishing the applicant’s ownership of an interest in the homestead.

For a 100 PERCENT DISABLED VETERAN exemption:

In addition to the information identified above, an applicant for a 100 percent disabled veteran’s exemption or the surviving spouse of a disabled veteran

who qualified for the 100 percent disabled veteran’s exemption must provide documentation from the United States Department of Veterans Affairs indicating

that the veteran received 100 percent disability compensation due to a service-connected disability and had a rating of 100 percent disabled or individual

unemployability.

For MANUFACTURED HOMES:

For a manufactured home to qualify for a residence homestead, applicant must provide:

1) a copy of the statement of ownership and location for the manufactured home issued by the Texas Department of Housing and Community Affairs

showing that the applicant is the owner of the manufactured home;

2) a copy of the purchase contract or payment receipt showing that the applicant is the purchaser of the manufactured home; or

3) a sworn affidavit (see last page) by the applicant indicating that:

a) the applicant is the owner of the manufactured home;

b) the seller of the manufactured home did not provide the applicant with a purchase contract; and

c) the applicant could not locate the seller after making a good faith effort.

STEP 6: Affirmation and Signature

NOTICE REGARDING PENALTIES FOR MAKING OR FILING AN APPLICATION 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 Penal Code Section 37.10.

___________________________________________________________________

“I,

swear or affirm the following:

Printed Name of Property Owner

(1) that each fact contained in this application is true and correct; (2) that I meet the qualifications under Texas law for the residence homestead

exemption for which I am applying; (3) that I do not claim an exemption on another residence homestead in Texas or claim a residence homestead

exemption on a residence homestead outside Texas; and (4) that I have read and understand the Notice Regarding Penalties for Making or Filing an

Application Containing a False Statement.”

___________________________________________________

Signature of Property Owner/Applicant or Person Authorized to Sign the Application

Date

(Only a person with a valid power of attorney or court-ordered designation is authorized to sign the application on behalf of the property owner.)

* Under Tax Code Section 11.43(m), a person who receives a general residence homestead exemption in a tax year is entitled to receive the age 65 or older exemption in the next tax year on the same

property without applying for it, if the person becomes 65 years old in that next year as shown by certain information in the appraisal district records or information the Texas Department of Public Safety

provided to the appraisal district under Transportation Code Section 521.049.

** Disclosure of your social security number (SSN) may be required and is authorized by law for the purpose of tax administration and identification of any individual affected by applicable law. Authority:

42 U.S.C. § 405(c)(2)(C)(i); Tax Code Section 11.43(f). Except as authorized by Tax Code Section 11.48(b), a driver’s license number, personal identification certificate number or social security number

provided in this application for an exemption filed with your county appraisal district is confidential and not open to public inspection under Tax Code Section 11.48(a).

*** An email address of a member of the public could be confidential under Government Code Section 552.137; however, by including the email address on this form, you are affirmatively consenting to its

release under the Public Information Act.

comptroller.texas.gov/taxes/property-tax

Page 4

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50-114 • 03-17/28