P r o p e r t y T a x
G a s D i s t r i b u t i o n U t i l i t 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 50-155
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.
Personal Property Rendition
Property Description
Property Owner’s Estimate
(Including Reserves)
of Market Value (Optional)*
*NOTE: Although rendering a value is not required, such action entitles the property owner to be notified if an appraised value greater than the rendered value is to
be submitted to the appraisal review board. Property owners may protest appraised values before the appraisal review board. (Section 25.19, Tax Code)
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)
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
No
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 knowledge 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
statement 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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