Form 50-791 - Appointment Of Agent For Binding Arbitration Page 2

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P r o p e r t y T a x

A p p o i n t m e n t o f A g e n t f o r B i n d i n g A r b i t r a t i o n

Form 50-791

Step 2: Specify the agent’s authority to take action relating to arbitration. (Note: A separate form must be submitted for each

arbitration requested.)

The agent identified below is granted authorization to:



Sign the request for binding arbitration for the above-described property



Represent the owner in the binding arbitration proceeding



Receive deposit refunds (Note: If you select this option, all correspondence from the comptroller regarding the arbitration will be sent

to the agent and the authorization must include the agent’s social security number, federal tax identification number, or Texas state

tax identification number.)



__________________________________________________________________________________________

Other:

Step 3: Name the agent for binding arbitration. (Note: Pursuant to Texas Property Tax Code, §41A.08(b) and Comptroller Rule

9.804, only certain individuals may act on behalf of a property owner in binding arbitration.)

___________________________________________________________________________________________________

Agent Name (Note: The agent named must be an individual. An authorization identifying a business entity is not valid.)

___________________________________________________________________________________________________

Agent’s license or certificate number

___________________________________________________________________________________________________

Licensing board pertaining to the license or certificate

___________________________________________________________________________________________________

Agent’s social security number, federal tax identification number, or Texas state tax identification number (Note: This information is required if the agent is authorized by this appointment to receive deposit refunds.)

Step 4: Sign and date the form.

____________________________________________________________________

____________________________

Signature of Property Owner

Date

____________________________________________________________________

____________________________

Print Name

Phone (area code and number)

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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