Form 50-264 - Supplemental Application For Community Housing Development Organization Improving Property For Low-Income And Moderateincome Housing Property Tax Exemption Previously Exempt In 2003 Page 3

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Supplementa l Applic ation for Communit y Housing De velopment Orga niz ation Improving Proper t y

P r o p e r t y T a x

for L ow-Income a nd Moderate-Income Housing Proper t y Ta x E xemption Previou sly E xempt in 20 03

Form 50-264

_____________________________________________________________________________________

3. Street Address:

Legal Description:

________________________________

Appraisal District Account Number (if known):

PROPERTY SOLD:

_____________________________________________________________________________________

1. Street Address:

Legal Description:

________________________________

Appraisal District Account Number (if known):

_____________________________________________________________________________________

2. Street Address:

Legal Description:

________________________________

Appraisal District Account Number (if known):

_____________________________________________________________________________________

3. Street Address:

Legal Description:

________________________________

Appraisal District Account Number (if known):

STEP 8: 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

_____________________________________________________________________

Printed Name

If you make a false statement on this form, 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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50-264 • 08-11/5 • Page 3