Homestead Exemption - Harris County Appraisal District Page 3

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Application for Residence Homestead Exemption

Step 4: Tax Limitation or Exemption Transfer

Place an "x" or check mark beside the type of tax limitation or surviving spouse exemption transfer you seek from your previous homestead exemption:

Tax limitation (Tax Code Section 11.26(h) or 11.261(h))

100% Disabled Veteran's Exemption (Tax Code Section 11.131(d))

Donated Residence Homestead of Partially Disabled Veteran (Tax Code Section 11.132(d))

Member of Armed Forces Killed in Action (Tax Code Section 11.133(c))

Address of previous residence homestead:

Step 5: Application Documents

Attach a copy of your driver's license or state-issued personal identification certificate. The address listed on your driver's license or

state-issued personal identification certificate must correspond to the address of the property for which an exemption is claimed in this

application. In certain cases, you are exempt from these requirements or the chief appraiser may waive the requirements.

Indicate if you are exempt from the requirement to provide a copy of your driver's license or state-issued personal identification certificate:

I am a resident of a facility that provides services related to health, infirmity, or aging.

Name and Address of Facility

I am certified for participation in the address confidentiality program administered by the Office of the Texas Attorney General under

Subchapter C, Chapter 56, Code of Criminal Procedure.

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: (1) a copy of

my military identification card (or that of my spouse); and (2) 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 Section 521.121(c) or 521.1211, Transportation Code. Attached is a copy of the application for that

license from the Texas Department of Transportation.

For an AGE 65 OR OLDER OR DISABLED EXEMPTION AND/OR TO DESIGNATE A COMMUNITY PROPERTY INTEREST:

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. Spouses may also use this affidavit to provide proof

of a community property interest.

For a 100% DISABLED VETERAN EXEMPTION:

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

qualified for the 100% disabled veteran's exemption must provide documentation from the United States Department of Veterans Affairs or its successor

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;

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

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.

(We)

, s

and

wear or affirm the following:

Printed Name-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 outside Texas: and (4) that I have read and understand the Notice Regarding Penalties for Making or Filing an Application

Containing a False Statement."

sign

here



Signature of Property Owner

Date

Signature of Property Owner

Date

or Person Authorized to Sign the Application*

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

11.13 (01/2016)

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