Form 50-120 - Application For Cemetery Property Tax Exemption Page 2

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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 C e m e t e r y P r o p e r t y T a x E x e m p t i o n

Form 50-120

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

Legal Description

______________________________________

Appraisal District Account Number (if known)



Is the property used exclusively for human burial? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes



Is the property being held for profit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes

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.

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Page 2 • 50-120 • 09-11/11