50-150-2
(Rev. 11-07/5)
Are you the property owner, an employee of the property owner, or an employee of a property owner on behalf of an affiliated entity of the property
owner?
Yes
No
This form must be signed and dated. By signing this document, you attest that the information contained on it is true and correct to the best of your knowl-
edge and belief.
If you checked “Yes” above, sign and date on the signature line below. No notarization is required.
Signature
__________________________________________________________________ Date _________________
If you checked “No” above, you must complete the following:
I swear that the information provided on this form is true and correct to the best of my knowledge and belief.
Signature
__________________________________________________________________ Date _________________
Subscribed and sworn before me this ____________day of ____________________________, 20______.
__________________________________________________________
Notary Public, State of Texas
Section 22.26 of the Tax Code states:
(a)
Each rendition statement or property report required or authorized by this chapter must be signed by an individual who is
required to file the statement or report.
(b)
When a corporation is required to file a statement or report, an officer of the corporation or an employee or agent who has
been designated in writing by the board of directors or by an authorized officer to sign in behalf of the corporation must sign
the statement or report.
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.