Form 50-121 - Application For Dredge Disposal Site Exemption - 2009 Page 2

Download a blank fillable Form 50-121 - Application For Dredge Disposal Site Exemption - 2009 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 50-121 - Application For Dredge Disposal Site Exemption - 2009 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

P r o p e r t y T a x

A p p l i c a t i o n f o r D r e d g e D i s p o s a l S i t e E x e m p t i o n

Form 50-121

Step 3: Describe the Property for Which You are Seeking an Exemption

Legal Description

______________________________________

Appraisal District Account Number (if known)

Is there a recorded easement dedicating this property for use as a disposal site for materials dredged from the main channel



of the Gulf Intracoastal Waterway under federal or state supervision? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes



Is the property actively used as a dredge disposal site? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes

Attach a copy of the recorded document dedicating the property .

Step 4: Read, Sign, and Date

By signing this application, you certify that the information provided in this application is true and correct to the best of your knowledge and belief .

____________________________________________________________________

____________________________

Authorized Signature

Date

____________________________________________________________________

____________________________

On Behalf of (name of property owner)

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 Section 37.10,

Penal Code.

For more information, visit our Web site:

Page 2 • 50-121 • 08-11/9