Form 50-165 - Application For 1-D Agricultural Appraisal Page 3
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A p p l i c a t i o n f o r 1 - d A g r i c u l t u r a l A p p r a i s a l
Form 50-165
STEP 5: Source of Income
List your sources of income and the percentage of your total income provided by each source.
Source of Income
Percentage
%
%
%
%
%
%
%
STEP 6: Read, Sign, and Date
If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Section 37.10,
Penal Code.
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.
_____________________________________________________________
____________________________
Owner’s Signature
Date
For more information, visit our website:
50-165 • 08-11/5 • Page 3
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Parent category: Financial