Form 50-152 - Telephone Company Rendition Of Taxable Property Page 3

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P r o p e r t y T a x

Te l e p h o n e C o m p a n y R e n d i t i o n o f T a x a b l e P r o p e r t y

Form 50-152

Please indicate if you are filling out this form as:



Authorized Agent

In a fiduciary capacity

___________________________________________________________________________________________________

Name of Authorized Agent or Fiduciary, if applicable

___________________________________________________________________________________________________

Present Mailing Address

_____________________________________________________________________

___________________________

City, State, ZIP Code

Phone (area code and number) (optional)



By checking this box, I affirm that the information contained in my most recent rendition statement filed for a prior tax year (this rendition was filed for

________

the

tax year), continues to be complete and accurate for the current tax year.



Check the total market value of your property.

Under $20,000

$20,000 or more

If you checked “Under $20,000,” please complete only Schedule A. Otherwise, complete Schedule B and/or C, whichever is applicable.

When required by the chief appraiser, you must render any taxable property that you own or manage and control as a fiduciary on January 1. [Section

22.01(b), Tax Code] For this type of property, complete Schedule A, B, and/or C, whichever is applicable.

When required by the chief appraiser, you must file a report listing the name and address of each owner of property that is in your possession or under

your management on January 1 by bailment, lease, consignment, or other arrangement. [Section 22.04(a), Tax Code] For this type of property, complete

Schedule D.

Are you the property owner, an employee of the property owner, or an employee of a property owner on behalf of an affiliated



entity of the property owner? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

This form must be signed and dated. By signing this document, you attest that the information contained on it is true and correct to the best of your knowl-

edge and belief.

If you checked “Yes” above, sign and date on the first signature line below. No notarization is required.

____________________________________________________________________

________________________

Date

If you checked “No” above, you must complete the following:

I swear that the information provided on this form is true and correct to the best of my knowledge and belief.

____________________________________________________________________

________________________

Date

__________

_____________

_____

Subscribed and sworn before me this

day of

, 20

_____________________________________________________

Notary Public, State of Texas

Section 22.26 of the Tax Code states:

(a) Each rendition statement or property report required or authorized by this chapter must be signed by an individual who is required to file the state-

ment or report.

(b) When a corporation is required to file a statement or report, an officer of the corporation or an employee or agent who has been designated in writing

by the board of directors or by an authorized officer to sign in behalf of the corporation must sign the statement or report.

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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