Form 50-285 - Lessee'S Affidavit Of Primarily Non Income Producing Vehicle Use

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50-285

(Rev. 9-03/1)

LESSEE’S AFFIDAVIT

YEAR

OF PRIMARILY NON INCOME PRODUCING VEHICLE USE

Appraisal district name

For the owner of a vehicle leased for personal use, this affidavit must be completed by the person leasing the vehicle. This

document must then be retained by the owner of the leased vehicle and made available to the appraisal district, on request, for

copying or inspection.

Your lease agreement or title should provide you with the information about your leased automobile required by

Step 1:

boxes 1 through 10.

Provide

data about

1. Vehicle Identification Number

2. Year

the leased

vehicle.

3. Make

4. Body style

5. Model

6. Empty weight*

7. Lease date

8. Owner name and address

10. Driver’s License number or Personal Identification number: †

9. Lessee name

If you do not have a street address, please provide your mailing address.

Step 2:

Provide

11. Lessee street or mailing address

12. City

13. State

14. ZIP code

15. County name

information

about your

home

address.

If the vehicle is usually located at an address other than the home address you provided in Step 2, or if the

Step 3:

address provided in Step 2 is a post office box or rural route, provide the physical address at which the vehicle

Provide

is primarily located.

information

if your

16. Vehicle street address

17. City

18. State

19. Zip code

20. County name

vehicle is not

at home

address.

Step 4:

Notarization by the person leasing the vehicle.

Notary

I swear and affirm that I will not hold the vehicle for the production of income. The above described leased

vehicle is used primarily for activities that do not produce income.** I affirm that each item stated above is

true and correct and I understand that if at any time this affidavit becomes inaccurate, I must notify the person

from whom I leased the vehicle.

Lessee signature

Subscribed and sworn before me this ____________day of ____________________________, 20____

_______________________________________________________

Notary Public, State of Texas

†

You are required to give us this information on this form, in order to perform tax related functions for this office. Section 11.43 of the Tax

Code authorizes this office to request this information to determine tax compliance. The chief appraiser is required to keep the information confi-

dential and not open to public inspection, except to appraisal office employees who appraise property and as authorized by Section 11.48(b), Tax

Code.

If the empty weight of the leased vehicle exceeds 9,000 pounds, the vehicle does not qualify for this exemption.

** Section 11.252, Tax Code, provides that a vehicle is used primarily for non-income producing activities when 50 percent or more of the total mileage

for a 12-month period was for non-income producing purposes.

If you make a false statement on this form, you could be found guilty of a class A misdemeanor or state jail felony under

Texas Penal Code Section 37.10.