Form 50-283 - Property Owner'S Affidavit Of Evidence To The Appraisal Review Board Page 3

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Form

Texas Comptroller of Public Accounts

50-283

SECTION 7: Certification and Signature

State of Texas

County of

______________________________________

___

_____________

Before me, the undersigned authority, personally appeared

, who, being by me duly sworn, deposed as follows:

Name of A

iant

___________________________

1. My name is

. I am of sound mind, capable of making this affidavit, and personally acquainted with the

Name of Affiant

facts stated in this affidavit as well as any materials attached to this affidavit. I am submitting and offering any materials as evidence or argument

to the ARB for consideration at the protest hearing for the property described in Section 2 of this affidavit.

2. Any materials submitted with this affidavit as evidence were generated or collected by me or for me, and are the original or exact duplicates of

the original.

______

3. Any materials I am submitting as evidence comprise a total of

pages or images and are described in Section 4 of this affidavit. I am

attaching any materials in paper form or on a small portable electronic device (such as a CD, USB flash drive or thumb drive) onto which images

of the materials have been loaded as prescribed by the ARB’s hearing procedures.

4. The facts contained in this affidavit are true and correct, and the information reflected in any evidentiary materials attached to this affidavit are

true and correct.

Signed on this

________________

day of

____________

, 20

_______

__________________________________________________

Signature of Affiant

SWORN TO AND SUBSCRIBED before me on the

___________

day of ____________, 20