Form 50-294 - Statement Of Unpaid Taxes On Manufactured Home
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1Comptroller
50-294 (12/01/2)
T
E
of Public
S
X
Accounts
[32.03]
A
FORM
STATEMENT OF UNPAID TAXES ON MANUFACTURED HOME
County appraisal district / County tax office name:
Phone (area code and number):
Fax (area code and number):
District/office mailing address:
Taxing units where manufacture home is located:
City, state, ZIP code + 4:
Date of statement of unpaid taxes:
________ / ________ / ________
Owner’s name:
Property account number:
Step 1:
Owner’s name
Current mailing address (number and street):
and address
City, state, ZIP code + 4:
Phone (area code and number):
Property description:
Step 2:
Describe the
Make: ___________________________________ Model: ______________________ Year Built: ___________
property
Serial Number or HUD Label Number: _________________________________________________________
Step 3:
This is to certify that, as reported by each taxing unit’s collector where the manufacture home is located,
Delinquent
the following delinquent taxes, penalties, and interest are due on the above described property:
taxes*
Year(s) Delinquent
Taxing Unit & Collector’s Address
Total Delinquent Taxes,
(If no
Penalties, & Interest
delinquent
taxes, the
1. _______________________
_______________________________________________
$ _____________________________
total will
indicate $0.)
2. _______________________
_______________________________________________
$ _____________________________
3. _______________________
_______________________________________________
$ _____________________________
4. _______________________
_______________________________________________
$ _____________________________
5. _______________________
_______________________________________________
$ _____________________________
6. _______________________
_______________________________________________
$ _____________________________
TOTAL
$ _____________________________
Step 4:
The following taxing units did not respond to the request for statement of unpaid taxes on the
Taxing units
described manufactured home:
not reporting*
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
See Schedule A. Check if attached.
Step 5:
Current taxes
Is Schedule A attached?
Yes
No
due
Authorized chief appraiser/county tax collector:
Title:
Step 6:
Authorized
signature
print
here
* Property Tax Code Section 32.03(b) states that if a chief appraiser does not provide an individual that requests the information with a statement of unpaid
taxes within five days of the request, the bona fide purchaser or the lien holder on a manufactured home is not liable for the delinquent taxes, penalties,
and interest due on the manufactured home.
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