Form 50-214 - Application For Nonprofit Water Supply Or Wastewater Service Page 3

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50-214-3 (Rev. 8-03/8)
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 owner
Legal description of property
Appraisal district account number (Optional):
Describe the primary use of this property.
1. Is the property currently under active construction or physical preparation?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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
2. Is the incomplete improvement designed and intended to be used in the operation of the corporation for the purpose
of acquiring, treating, storing, transporting, selling or distributing water or to provide wastewater service? . . . . . . . . . . .
Yes
No
3. Does any portion of this property produce income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If “YES,” attach a statement describing use of the revenue.
4. Is the land on which the incomplete improvement is located reasonably necessary for the use of the improvement
in the operation of the corporation as described in question 2 above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
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.
**An incomplete improvement exempted for the three years preceding the 2003 tax year is entitled to exemption for the 2003 tax year regardless of
whether the property owner applies for the exemption for the 2003 tax year if the property otherwise qualifies. The chief appraiser may require the
property owner to file an application to confirm the owner’s qualification for exemption for the 2003 tax year. An exemption for an incomplete improve-
ment is for five years. Effective January 1, 2006, the exemption will revert back to three years.

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