Form 50-114 - Application For Residential Homestead Exemption Page 2

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SURVIVING SPOUSE OF INDIVIDUAL WHO QUALIFIED FOR AGE 65 OR OLDER EXEMPTION (Tax Code Section 11.13(q)):
You may qualify for this exemption if: (1) your deceased spouse died in a year in which he or she qualified for the exemption under Tax Code
**********
Section 11.13(d): (2) you were 55 years of age or older when your deceased spouse died; and (3) the property was your residence homestead
YOU MUST
when your deceased spouse died and remains your residence homestead. You cannot receive this exemption if you receive an exemption
under Tax Code Section 11.13(d). Please attach all documents to support your request.
provide a copy of
your TX.
Your Spouse’s Name: __________________________________Date of Death: __________________________________
Driver’s License
or TX. I.D. card
__
DISABLED PERSON EXEMPTION (Tax Code 11.13 (c) (d): You may qualify for this exemption if you are under a disability for the
reflecting current
purposes of payment of disability benefits under the Federal Old Age, Survivor’s and Disability Insurance Act OR you meet the definition of
residence for all
disabled in that Act. Exemption applies immediately upon qualification.
exemptions.
Attach Current letter from Social Security Administration reflecting onset date
___ 100% DISABLED VETERANS EXEMPTION (Tax Code 11.131): You may qualify for this exemption if you are a disabled veteran
who receives from the United States Department of Veterans Affairs (VA) or its successor (1) 100 percent disability compensation due to a service-
connected disability; and (2) a rating of 100 percent disabled or a determination of individual unemployability from the VA.
current
Attach a copy of your
award letter or other document from the United States Department of Veterans Affairs.
***************
___ 100% Disabled Veteran’s Exemption Transfer County_________________________________
(Tax Code 11.43 (f)
prohibits a chief
appraiser from
___ SURVIVING SPOUSE OF DISABLED VETERAN WHO QUALIFIED OR WOULD HAVE QUALIFIED FOR THE 100%
allowing a
DISABLED VETERAN’S EXEMPTION (Tax Code Section 11.131(c), (d)): You may qualify for this exemption if you were married to a
homestead
disabled veteran who qualified for an exemption under Tax Code Section 11.131(b) at the time of his or her death or would have qualified for the
exemption unless
exemption if the exemption had been in effect on the date the disabled veteran died and: (1) you have not remarried since the death of the disabled
the addresses on the
required forms of
veteran and (2) the property was your residence homestead when the disabled veteran died and remains your residence homestead.
identification match
Please attach all documents to support your request.
the address for
which the exemption
_____________________________________________________________________
_____________________________
is claimed.
Name of Deceased Spouse
Date of Death
___ DONATED RESIDENCE HOMESTEAD OF PARTIALLY DISABLED VETERAN (Tax Code 11.132(b)): You may qualify for this
exemption if you are a disabled veteran with a disability rating of less than 100 percent and your residence homestead was donated to you by a
charitable organization at no cost to you. Please attach all documents to support your request.
___ Donated Residence Homestead of Partially Disabled Veteran
_______________________
Percent Disability Rating
___ SURVIVING SPOUSE OF DISABLED VETERAN WHO QUALIFED FOR THE DONATED RESIDENCE HOMESTEAD
EXEMPTION (Tax Code Section 11.132(c), (d)):You may qualify for this exemption if you were married to a disabled veteran who qualified for
an exemption under Tax Code Section 11.132(b) at the time of his or her death and : (1) you have not remarried since the death of the disabled
veteran and (2) the property was your residence homestead when the disabled veteran died and remains your residence homestead.
Please attach all documents to support your request.
____________________________________________________________
____________________________
Name of Deceased Spouse
Date of Death
___
SURVIVING SPOUSE OF MEMBER OF ARMED FORCES KILLED IN ACTION (Tax Code 11.133): You may qualify for this
exemption if you are the surviving spouse of a member of the United States armed services who is killed in action and you have not remarried
since their death of the member of the armed services. Please attach all documents to support your request.
________________________________________________________________________________________________
Previous Residence Address, City, State, ZIP Code
Step 3
:
Remove
Delete Exemptions at: ________________________________________________________________ for ________ tax year
exemption
Previous address:__________________________________________________________
County_________________________
Step 4:
NOTICE REGARDING PENALTIES FOR MAKING OR FILING AN APPLICATION CONTAINING A FALSE
Sign and Date
STATEMENT: If you make a false statement on this form, you could be found guilty of a Class A misdemeanor or a state
the Application
jail felony under Penal Code Section 37.10. I, swear or affirm the following: (1) that each fact contained in this application
is true and correct; (2) that I meet the qualifications under Texas law for the residence homestead exemption for which I
am applying; (3) that I do not claim an exemption on another residence homestead in Texas or claim a residence homestead
exemption on a residence outside of Texas; and (4) that I have read and understand the Notice Regarding Penalties for
Making
or
Filing
an
Application
Containing
a
False
Statement.
Rvsd 03/02/2016
Today’s Date:
Applicant Signature:
Other Applicant Signature:
Print Name:
Print Name:

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