P r o p e r t y T a x
L e s s o r ’ s A p p l i c a t i o n f o r P e r s o n a l U s e L e a s e A u t o m o b i l e E x e m p t i o n
Form 50-286
STEP 3: Name and Address of Lessee Vehicle ID, Vehicle Physical Location and Other Required Information or Attach
Schedule A List of Leased Vehicles, See Page 3*
_____________________________________________________________
__________________________________
Name of Lessee
Phone (area code and number)
___________________________________________________________________________________________________
Mailing Address
_____________________________________________________________
__________________________________
City, State, ZIP Code
County
______________________________________
_________________
________________
___________________
Vehicle Identification Number
Year
Make
Body Style Type
______________________________________
_________________
________________
Model
Weight**
Lease Date
______________________________________
____________________________________
___________________
Address Where Vehicle is Kept
City, State, ZIP Code
County
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the
production of income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Has the property owner maintained the lessee’s affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
FOR APPRAISAL DISTRICT USE
______________________
_____________________
______________________
_________________________
County
School
City
Special District
______________________________________________
__________________________________________________
Other Taxing Units
Other Taxing Units
STEP 4: Read, Sign, and Date
By signing this application, you certify that the information provided in this application and any information attached is true and correct to the best of
your knowledge and belief.
________________________________________________
_______________________________
Signature of Person Authorized to Sign for Lease Company
Date
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.
*
Or a format/form with all required information from Step 3, which has received substantial compliance approval from the comptroller. This information
may be submitted electronically if the appraisal district agrees.
** If vehicle empty weight exceeds 9,000 pounds, the vehicle does not qualify for this exemption.
NOTE: Section 11.252, Tax Code, provides that a vehicle is used primarily for non-income producing activities when 50 percent or more of the total
mileage for a 12 month period was for non-income producing purposes, and the lessee files an affidavit of personal use with the leasing com-
pany.
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