Form 50-172 - Operator'S Request For Joint Taxation Of Mineral Interest
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150-172 (Rev. 7-97/2)
[25.12 (6-82) Rule 9.3042]
YEAR
OPERATOR’S REQUEST FOR JOINT TAXATION OF MINERAL INTEREST
Appraisal district name
Phone (area code and number)
Address
To qualify for the taxation of minerals interests, other than interests having a taxable value of less than $500, the operator designated with the Texas
Railroad Commission must submit this request form to the chief appraiser for the appraisal district in which the interest is appraised between January
1 and April 30 of this tax year.
Owner's name
Step 1:
Identify the
operator
Current mailing address (number and street)
Phone (area code and number)
City, town or post office, state, ZIP code
Step 2:
Describe the
Property description: _________________________________________________________________________________________________
Property
Types and amount of interest expressed in decimal form to be listed jointly in the name of the designated operator:
Authorized agent (if different from above)
Step 3:
Agent's name
Current mailing address (number and street)
and address
City, town or post office, state, ZIP code
If all the nonroyalty interest(s) is not intended to be listed in the name of the designated operator, please list the names
Step 4:
and addresses of the owners of such interest(s):
List owner's
Owner's name
name and
address
Current mailing address (number and street)
(attach
additional
page if
City, town or post office, state, ZIP code
needed)
Owner's name
Current mailing address (number and street)
City, town or post office, state, ZIP code
Owner's name
Current mailing address (number and street)
City, town or post office, state, ZIP code
Owner's name
Current mailing address (number and street)
City, town or post office, state, ZIP code
I hereby request that the separate mineral interests in the property identified in this form be listed jointly in the manner specified
Step 5:
herein.
Sign the form
I certify that the information given on this form is true and corfect to the best of my knowledge and belief.
sign
Signature
Date
here
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Parent category: Financial