Form 50-115 - Application For Charitable Organization Property Tax Exemption Page 3

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50-115 (Rev. 8-03/8) - Page 3

Attach a copy of the charter, bylaws or other documents adopted by the organization which govern its affairs, and answer the

Step 4:

following questions.

Answer these

1. Does the organization use its assets in performing the organization’s charitable functions

questions

or the charitable function of another charitable organization? ...............................................................

about the

Yes

organization’s

bylaws or

2. Does the charitable organization divide responsibility with another organization? ................................

Yes

charter

If “YES,” is that organization

1. exempt from federal income taxation under Section 501(a), Internal Revenue

Code of 1986, as an organization described by Section 501(c)(3) of that code;

2. meet the criteria for a charitable organization under Section 11.18(e) and (f) Texas Tax Code; and

3. under common control with the charitable organization? ......................................................

Yes

3. Do these documents direct that on the discontinuance of the organization the organization’s

assets are to be transferred to the state of Texas, to the United States, or to an educational, religious,

charitable or other similar organization that is qualified for exemption under Section 501(c)(3), Internal

Yes

Revenue Code, as amended? .................................................................................................................

If “YES,” give the page and paragraph numbers.

Page ________

Paragraph ________

If “NO,” do these documents direct that on discontinuance of the organization the organization’s

assets are to be transferred to its members who have promised in their membership applications to

immediately transfer them to the State of Texas, to the United States, or to an educational, religious,

charitable or other similar organization that is qualified for exemption under Sec. 501(c)(3), Internal

Yes

Revenue Code, as amended? ................................................................................................................

If “YES,” give the page and paragraph numbers.

Page ________

Paragraph ________

If “YES,” was the two-step transfer required for the organization to qualify for exemption under

Sec. 501(c)(3), Internal Revenue Code, as amended? ............................................................................

Yes

Step 5:

PROPERTY TO BE EXEMPT:

Describe your

• Attach one Schedule A (REAL PROPERTY) form for EACH parcel of real property to be exempt.

property

• Attach one Schedule B (PERSONAL PROPERTY) form listing ALL personal property to be exempt.

• List only property owned by the organization.

Step 6:

• By signing this application, you designate the property described in the attached Schedules A and B as the

Sign the

property against which the charitable organization exemption may be claimed in this appraisal district.

application

• You certify that this information is true and correct to the best of your knowledge and belief.

On behalf of (name of organization)

Date

Authorized signature

Title

If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or

a state jail felony under Texas Penal Code Section 37.10.

† 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 confidential and not open to

public inspection, except to appraisal office employees who appraise property and as authorized by Section 11.48(b), Tax Code.