Form Ap-186 - Application For Refund Of State Taxes Paid By Persons Owning Certain Abated Property Page 2
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1
2
3APPLICATION FOR REFUND OF STATE TAXES
AP-186 -2
b
(11-98/2)
PAID BY PERSON OWNING
CERTAIN ABATED PROPERTY
PLEASE PRINT OR TYPE. DO NOT WRITE IN SHADED AREAS.
(SEE PAGE 1 FOR COMPLETE INSTRUCTIONS.)
Step 1:
54100
a
TCode
e
Tax Year Subject of Claim
Owner’s Name,
ID Number
c
Taxpayer/Employer ID Number
and Address.
f Blacken this box if your address has changed:
1 FM
d
Taxpayer Name and Mailing Address:
g (For Comptroller use only)
2 ATT
mo.
day
year
3 SD
PM
Step 2:
Abated Property: Legal Description
Describe the
h
property (as
listed on tax
i
County Name
ia. County Code
bill and/or tax
receipt).
j
County Appraisal District Parcel Identification Number
on Appraisal Roll:
k
School District in Which Property is Located:
Independent School District (ISD)
.
l
Physical Address (Street)
m. City
n. State
o. Zip Code
_
Step 3:
p. With what city or county did you originate the abatement agreement under Chapter 312, concerning the abated property
Specify the
described in Step 2? p
abatement
1
2
provisions.
(check one)
q
city or
county
r1. What percentage of the abated property’s appraised value is exempt for the
tax year claimed in e above? (round to nearest whole number)
r1
%
years
r2. Period of abatement agreement (Not to exceed 10 years)
r2
mo.
day
year
s. What date was abatement agreement entered into?
s
mo.
day
year
t.
If modified, date of last modification?
t
mo.
day
year
u. What date does abatement agreement expire?
u
1
2
v.
Has the abatement agreement already expired or been canceled?
v
yes
no
mo.
day
year
w. If yes, on what date?
w
x. During the tax year subject to this claim, you have: (enter one of these numbers)
x
1 - established a new business in the reinvestment zone,
2 - expanded a business in the reinvestment zone,
3 - modernized an existing business to retain jobs in this reinvestment zone OR
4 - none of the above.
y.
Is your business currently located in the reinvestment zone in the city or county
1
2
referenced in item p?
y
yes
no
mo.
day
year
z. If no, what date did it move out of the reinvestment zone?
z
aa. During the tax year of this claim, was the property subject to a tax abatement
agreement with the city or county listed above also subject to a tax abatement
1
2
agreement with a school district?
aa
yes
no
bb. Has your company made a payment “in lieu of taxes” to a city or county with which
1
2
you have executed a tax abatement agreement?
bb
yes
no
cc. Since the date you entered into an abatement agreement with a city and/or county,
1
2
have you had an increase in payroll, specific to property in this state?
cc
yes
no
dd. If yes, how much has your payroll increased since the date you entered into the
agreement?
dd
$
ee. Since an initial comparison year beginning on or after January 1, 1996, have you had
an increase of at least $4 million in the appraised value of your business, specific to
1
2
the abated property?
ee
yes
no
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