Appointment Form Of Agent For Property Tax Matters Page 2

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P r o p e r t y T a x
A p p o i n t m e n t o f A g e n t f o r P r o p e r t y T a x M a t t e r s
Form 50-162
STEP 3: Identify the Agent:
JOHN C. OSENBAUGH
#00396
281-531-4400
____________________________________________________________________
____________________________
Name
Telephone Number (include area code)
17506 WAVERLY GROVE DR
___________________________________________________________________________________________________
Address
___________________________________________________________________________________________________
HOUSTON, TX 77084
City, State, Zip Code
STEP 4: Specify the Agent’s Authority:
The agent identified above is authorized to represent me in (check one):
all property tax matters concerning the property identified
the following specific property tax matters:
_______________________________________________________________________________________________
The agent identified above is authorized to receive confidential information pursuant to Tax Code §§11.48(b)(2),
22.27(b)(2), 23.123(c)(2), 23.126(c)(2), and 23.45(b)(2): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
I hereby direct, as indicated below, the appraisal district, appraisal review board, and each taxing unit participating in the appraisal district to deliver the
documents checked below to the agent identified above regarding the property identified. I acknowledge that such documents will be delivered only to
the agent at the agent’s address indicated above and will not be delivered to me unless the affected offices choose to send me copies or are otherwise
required by law. I understand that these documents can affect my legal rights and that the appraisal district, appraisal review board, and the taxing units
are not required to send me copies if I direct them to deliver the documents to my agent.
all communications from the chief appraiser
all communications from the appraisal review board
all communications from all taxing units participating in the appraisal district
STEP 5: Date the Agent’s Authority Ends. Pursuant to Tax Code §1.111(c), this designation remains in effect until the date indicated or until
a written revocation is filed with the appraisal district by the property owner or the owner’s designated agent. A designation may be made
to expire according to its own terms but is still subject to prior revocation by the property owner or designated agent. Pursuant to Tax Code
§1.111(d), a property owner may not designate more than one agent to represent the property owner in connection with an item of property.
The designation of an agent in connection with an item of property revokes any previous designation of an agent in connection with that item
of property. By designating an agent on this form, previous designations of other agents in connection with the items of property shown on
the form are revoked.
____________________
XX-XX-XXXX
Date Agent’s Authority Ends . . . . .
STEP 6: Identification, Signature, and Date:
____________________________________________________________________
____________________________
Signature of Property Owner, Property Manager, or Other
Date
Person Authorized to Act on Behalf of the Property Owner*
____________________________________________________________________
____________________________
Printed Name of Property Owner, Property Manager, or Other
Title
Person Authorized to Act on Behalf of the Property Owner
The individual signing this form is (check one):
the property owner
a property manager authorized to designate agents for the owner
other person authorized to act on behalf of the owner other than the person being designated as agent
* This form must be signed by the property owner, a property manager authorized to designate agents for the owner, or other person authorized to act on
behalf of the owner other than the person being designated as agent. If you are a person other than the property owner, the appraisal district may request
a copy of the document(s) authorizing you to designate agents or act on behalf of the property owner.
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 Section 37 .10, Penal Code.
For more information, visit our website:
Page 2 • 50-162 • 09-13/10

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