Form 50-128 - Application For Miscellaneous Property Tax Exemptions - 2010 Page 2
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450-128 (Rev. 11-05/10) - Page 2
All applicants
Attach a copy of the charter, bylaws or other documents adopted by the organization which govern its affairs, and answer
answer these
the following questions.
questions
Yes
No
Is your organization chartered by the United States Congress? ............................................................
Do these documents pledge the organization’s assets for use in performing the organization’s
charitable functions? ...............................................................................................................................
Yes
No
If “YES,” give the page and paragraph numbers.
Page ________
Paragraph ________
Do these documents require the organization to operate in a nonprofit manner? ................................
Yes
No
If “YES,” give the page and paragraph numbers.
Page ________
Paragraph ________
Attach a list of salaries and other compensation for services paid in the last year. Also list any funds distributed to members,
shareholders or directors in the last year. In each case, give recipient’s name, type of service rendered or reason for payment
and amount paid.
Step 4:
1. Does the association hold a license (issued after January 1, 2001) under the Texas Racing Act
Complete if
(Article 179e, Vernon’s Texas Civil Statutes) to conduct a horse race meeting or a greyhound race
County Fair
Yes
No
meeting with pari-mutuel wagering? ..........................................................................................................
Association
2. Does the association use the land or a building to conduct a race meeting or greyhound race meeting
Yes
No
with pari-mutuel wagering under a license issued after January 1, 2001? ...............................................
3. Is the association a nonprofit corporation as defined by the Texas Non-Profit Corporation Act
Yes
No
(Article 1396-1.01, et seq., Vernon’s Texas Civil Statues)? ........................................................................
4. Is the association exempt from federal income taxes as an organization under Section 501(c)(3), (4),
Yes
No
or (5), Internal Revenue Code of 1986, as amended? ...............................................................................
5. Is the association qualified for an exemption from the franchise tax under Section 171.060,
Yes
No
Texas Tax Code? ........................................................................................................................................
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 exemption checked on page 1 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 informa-
tion 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.
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