Form 37a - Property Owner'S Affidavit Of Evidence To The Appraisal Review Board Page 2

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Part 4 - Statement of Owner
Give any other statement or facts that may help resolve your case.
Part 5 - Statement of Intent Regarding Appearance at Protest Hearing
NOTE: For purposes of scheduling your hearing, you must state that you do not intend to appear at the hearing or that you intend to
appear at the hearing and that the affidavit may be used only if you do not appear at the hearing. If you fail to state whether you intend
to appear at the hearing, the ARB shall consider the submission of the affidavit as an indication that you do not intend to appear at the
hearing. If you state that you do not intend to appear at the hearing or if you do not state whether you intend to appear at the hearing,
the ARB is not required to consider the affidavit at the scheduled hearing and may consider the affidavit at a hearing designated for the
specific purpose of processing affidavits.
(choose one)
I do not intend to appear at the hearing.
I intend to appear at the hearing and this affidavit may be used only if I do not appear at the hearing.
Part 6 - Read, Sign and Date
State of _______________________________________
County of ______________________________________
I, (name of person making affidavit) ____________________________________________________________________________
being first duly placed under oath by the undersigned official authorized to administer oaths under the laws of this state, do solemnly
swear that the information herein and attached is true and correct.
___________________________________________________________
Signature and Title of Property Owner
(must be signed before notary public or officer.)
Subscribed and sworn before me this _____________day of ______________________ , 20 _______ .
__________________________________________________
Notary Public Signature
Commission expires: _________________________________
__________________________________________________
Notary Public Printed Name
37A (01/2014)
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