M
S
IKE
ULLIVAN
Tax Assessor-Collector
Request to Remove Personal Information from the Harris County Tax Office Website
According to the Public Information Act, the public has a right to access and/or copy your voter registration
information and/or tax statements, including your name. Since the Act does not require a governmental body to
provide public access on the Internet, the Harris County Tax Office may remove your record(s) from the
information posted on its website, upon your written request.
After you submit this completed form to the Harris County Tax Office, your voter registration record and/or tax
account statement will be removed from the website and you will not be able to access your record(s) via the Internet
or pay your tax bill by e-Check or credit card. This service is subject to change according to changes in state or federal law.
our tax account and/or voter registration record will only be removed from the Harris
Y
NOTICE
:
County Tax Office website and will not be removed from information otherwise
provided to the public, pursuant to the Public Information Act.
(Please print)
Step 1: Voter Information
Name of Voter: _______________________________ Daytime Telephone Number: ___________________
Home Address: ____________________________________________________________________________
City: _______________________________ State: ______________________ ZIP Code: ________________
Voter Registration Certificate Number: _______________________________________________________
Step 2: Tax Information: Real Property
Name of Taxpayer: ________________________________________________________________________
Property Address: _____________________________Real Property Account # ______________________
Step 3: Tax Information: Personal Property, Mobile Homes, Mineral Account Numbers
Name of Taxpayer: ________________________________________________________________________
Property Address: _______________________________________________ Account # ________________
Step 4: For Harris County Tax Office Use
I certify the information in this document and any information attached is true and correct to the best of my
knowledge and belief. I understand that this form authorizes the Harris County Tax Office to remove my voter
registration and/or tax statement record from the Harris County Tax Office website until I rescind this request in
writing. I understand that this authorization applies only to information posted on the website and that the
Public Information Act requires the Harris County Tax Office to provide full public access to my voter
registration and tax account information.
Signature: _______________________________________________________ Date: ____________________
OPT-001
Rev. 01/14 v2
1
