Form 50-119 - Application For Private School Property Tax Exemption Page 3

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50-119 (Rev. 8-03/9) - Page 3
[11.21-A]
Schedule A: Description of real property
• Complete one Schedule A form for EACH parcel qualified for exemption.
• Attach all completed schedules to your application for exemption.
Name of property owner**
Legal description of property
Appraisal district account number (Optional):
Describe the primary use of this property.
Yes
No
1. Is this property used exclusively for school purposes? ......................................................................................................
Yes
No
2. Is this property held for gain, rented or used with a view to profit? ...................................................................................
Yes
No
3. Is this property the organization’s state headquarters? ......................................................................................................
Yes
No
4. Is the property currently under active construction or physical preparation? .....................................................................
If you answered yes to this question, please answer the following questions:
A. If under construction, when will construction be completed? (date) _______________________***
B. If under physical preparation, check which activity the organization has done.
(Check all that apply.)
Architectural work
Land clearing activities
Engineering work
Site improvement work
Soil testing
Environmental or land use study
Yes
No
5. Is the incomplete improvement designed and intended to be used for a qualified private school purpose? ....................
6. Is the land on which the improvement is located reasonably necessary for the use of the improvement for the
Yes
No
operation of the qualified private school? ...........................................................................................................................
List all other individuals and organizations that used this property in the past year, and give the requested information for each.
NAME
DATES USED
ACTIVITY
RENT PAID, IF ANY
Continue on additional sheets as needed.
**If property owner is a religious organization, attach a copy of the school’s lease agreement.
***An incomplete improvement exempted for the three years preceding the 2003 tax year is entitled to exemption for the 2003 tax year regardless of
whether the property owner applies for the exemption for the 2003 tax year if the property otherwise qualifies. The chief appraiser may require the property
owner to file an application to confirm the owner’s qualification for exemption for the 2003 tax year. An exemption for an incomplete improvement is for five
years. Effective January 1, 2006, the exemption will revert back to three years.

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