Form 50-122 Application For Historic Or Archeological Site Property Tax Exemption
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150-122 (Rev.8-03/7)
[11.24 Rule 9.415]
YEAR
APPLICATION FOR HISTORIC OR ARCHEOLOGICAL SITE PROPERTY TAX EXEMPTION
Appraisal district name
Phone (area code and number)
Address
This application covers property you owned on January 1 of this year. You must file the completed application between
January 1 and April 30 of this year. Be sure to attach any additional documents requested. You must apply for this exemption
every year; it will not be automatically renewed.
Step 1:
Owner’s name
Driver’s License, Personal I.D. Certificate, or
Social Security Number*:
Owner’s name
and address
Present mailing address
City, town or post office, state, ZIP code
Phone (area code and number)
Owner is a(n): (please check)
Individual
Association
Corporation
Nonprofit corporation
Name of person preparing this application
Driver’s License, Personal I.D. Certificate, or
Title
Social Security Number:
Legal description:
Step 2:
Describe
the property
Appraisal district account number (Optional):
Step 3:
List taxing
units that
have granted
an exemption
on the property
(Attach copy of
each order
granting
exemption)
Has the Texas Historical Commission designated this property as a recorded
Yes
No
Texas historical landmark or state archeological landmark? (attach copy of order) .............................
Has each taxing unit listed above designated this property as a recorded
Texas historical landmark or an historic or archeological site in need or tax relief?
Yes
No
(attach copy of order) ..............................................................................................................................
Step 4:
By signing this application, you certify that this information is true and correct to the best of your knowledge and belief.
Sign the
application
Signature
Date
On behalf of (name of organization)
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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