Affidavit As Proof Of Eligibility For Residence Homestead Exemption Page 4

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Harris County Appraisal District
Affidavits
P. O. Box 922012
Houston, Texas 77292-2012
(713) 957-7800
Account Number:
Tax Year:
Affidavits: Complete and have notarized if you are not specifically identified on a deed or other recorded instrument in Harris County.
AFFIDAVIT FOR PERSONS WHO ARE AGE 65 OR OLDER OR HAVE QUALIFYING DISABILITIES
State of Texas
County of
Before me, the undersigned authority, personally appeared
who, being by me duly sworn, deposed as follows:
"My name is
. I am over 18 years of age and I am otherwise fully competent
to make this affidavit. I have personal knowledge of the facts contained herein and all of same are true and correct. I meet the
qualifications for a residence homestead exemption under Tax Code Section 11.13 (c) or (d) and am not specifically identified in
this application. I am a legal owner of the property with a community property interest.
Further, Affiant sayeth not".
Signature of Affiant
SUBSCRIBED AND SWORN TO before me, this the
day of
,
.
Notary Public in and for the State of Texas
My commission expires
AFFIDAVIT FOR PERSONS WHO ARE AGE 65 OR OLDER OR HAVE QUALIFYING DISABILITIES
State of Texas
County of
Before me, the undersigned authority, personally appeared
who, being by me duly sworn, deposed as follows:
"My name is
. I am over 18 years of age and I am otherwise fully competent
to make this affidavit. I have personal knowledge of the facts contained herein and all of same are true and correct. I meet the
qualifications for a residence homestead exemption under Tax Code Section 11.13 (c) or (d) and am not specifically identified
on a deed or other appropriate instrument recorded in the applicable real property records as an owner of the residence
homestead identified in this application. I am a legal owner and own
percent of the property.
Further, Affiant sayeth not".
Signature of Affiant
SUBSCRIBED AND SWORN TO before me, this the
day of
,
.
Notary Public in and for the State of Texas
My commission expires
11.43 (10/2013)
Page 4

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