Form 50-254 - 2004 Appraisal District Report Of Property Value Short Form
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250-254
(Rev. 06-04/10)
2004 APPRAISAL DISTRICT REPORT OF PROPERTY VALUE — SHORT FORM
(Instructions On Back Of Form)
• COMPLETE ALL SECTIONS AND SUBMIT ORIGINAL AND ONE COPY OF EACH REQUESTED DOCUMENT.
• Please submit copies of summary of certified values required under Sec. 25.24 and 26.01, Property Tax Code.
• See Instruction Booklet for due dates.
Appraisal District Name
AR0001
Appraisal District Number
AR0002
SPECIAL TAXING UNIT(S)
AR0003
AR0100
Jurisdiction number __________________________________
Jurisdiction name _____________________________________
AR0004
AR0005
Total Value __________________________________________
Taxable Value _________________________________________
(Does not include totally exempt property)
TAX RATE INFORMATION
Maintenance & Operations
Interest & Sinking Fund
AR0106
AR0107
AR0108
Tax Rates: ________________________________
Tax Rate: ____________________________________
=
______________________________
AR0109
Total Taxes Levied in 2004 (Round to nearest whole dollar). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
AR0003
AR0100
Jurisdiction number __________________________________
Jurisdiction name _____________________________________
AR0004
AR0005
Total Value __________________________________________
Taxable Value _________________________________________
(Does not include totally exempt property)
TAX RATE INFORMATION
Maintenance & Operations
Interest & Sinking Fund
AR0106
AR0107
AR0108
Tax Rates: ________________________________
Tax Rate: ____________________________________
=
______________________________
AR0109
Total Taxes Levied in 2004 (Round to nearest whole dollar). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
AR0003
AR0100
Jurisdiction number __________________________________
Jurisdiction name _____________________________________
AR0004
AR0005
Total Value __________________________________________
Taxable Value _________________________________________
(Does not include totally exempt property)
TAX RATE INFORMATION
Maintenance & Operations
Interest & Sinking Fund
AR0106
AR0107
AR0108
Tax Rates: ________________________________
Tax Rate: ____________________________________
=
______________________________
AR0109
Total Taxes Levied in 2004 (Round to nearest whole dollar). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
AR0003
AR0100
Jurisdiction number __________________________________
Jurisdiction name _____________________________________
AR0004
AR0005
Total Value __________________________________________
Taxable Value _________________________________________
(Does not include totally exempt property)
TAX RATE INFORMATION
Maintenance & Operations
Interest & Sinking Fund
AR0106
AR0107
AR0108
Tax Rates: ________________________________
Tax Rate: ____________________________________
=
______________________________
AR0109
Total Taxes Levied in 2004 (Round to nearest whole dollar). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________________
By signing this report, I agree that the values are true and correct as certified by
Return original and one copy to:
the Chief Appraiser.
COMPTROLLER OF PUBLIC ACCOUNTS
Official authorized by Appraisal District
Date
Property Tax Division
Reporting Section
P.O. Box 13528
Print name/Title
Phone (area code and number)
Austin, Texas 78711-3528
If you have any questions about this report, please call the Reporting Section at 1-800-252-9121.
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