Form 50-119 - Application For Private School Property Tax Exemption Page 3

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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 P r i v a t e S c h o o l P r o p e r t y T a x E x e m p t i o n

Form 50-119

Schedule A: Description of Real Property

• Complete one Schedule A form for EACH parcel qualified for exemption .

• Attach all completed schedules to your application for exemption.

______________________________________________________________________

___________________________

Name of Property Owner**

Appraisal District Account Number (if known)

Legal Description of Property (if known):

Describe the Primary Use of This Property:



Is this property used exclusively for school purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes



Is this property held for gain, rented or used with a view to profit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes



Is this property the organization’s state headquarters? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes



Is the property currently under active construction or physical preparation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes

If you answered yes to this question, please answer the following questions:

A . If under construction, when will construction be completed? (date)

______________________________

B. If under physical preparation, check which activity the organization has done. (Check all that apply.)



Architectural work

Land clearing activities

Engineering work



Site improvement work

Soil testing

Environmental or land use study



5 . Is the incomplete improvement designed and intended to be used for a qualified private school purpose? . . . . . . . . . . . . . . . . . . . .Yes

6 . Is the land on which the improvement is located reasonably necessary for the use of the improvement for the



operation of the qualified private school? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes

List all other individuals and organizations that used this property in the past year, and give the requested information for each.

Name

Dates Used

Activity

Rent Paid, if any

Continue on additional sheets as needed .

** If property owner is a religious organization, attach a copy of the school’s lease agreement .

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50-119 • 09-11/12 • Page 3