Form 50-804 - Application For Refund Of Prepayment Of Taxes On Fleet Transaction

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P r o p e r t y T a x
Application for Refund of Prepayment of Taxes
Form 50-804
on Fleet Transaction
___________________________________________________________________________________________________
Appraisal District’s Name
___________________________________________________________________________________________________
Mailing Address
____________________________________________________________________
____________________________
City, State, ZIP Code
Phone (area code and number)
GENERAL INSTRUCTIONS: This application is for requesting a tax refund on unit property tax paid on a fleet transaction pursuant to Tax Code Section
23.1243. A separate application must be made for each fleet transaction.
To apply for a refund of prepayment of taxes on a fleet transaction, the dealer must complete Steps 1 through 4.
STEP 1: Provide Dealer’s Name and Address
___________________________________________________________________________________________________
Dealer’s Name
___________________________________________________________________________________________________
Mailing Address
____________________________________________________________________
____________________________
City, State, ZIP Code
Phone (area code and number)
___________________________________________________________________________________________________
Address of Business Location
STEP 2: Identify Account Number. Attach Copy of Monthly Statement(s) Identifying the Applicable Fleet Transaction.
_________________________________________________________________
Appraisal District’s Account Number for the Heavy Equipment Inventory Included in the Applicable Fleet Transaction
STEP 3: Identify Unit Property Tax Paid on Fleet Transaction Sales for Which Refund is Sought
Identification/
Unit Property
Date of Sale
Item Name
Serial Number
Purchaser’s Name
Type of Sale*
Sales Price
Tax Paid
* Use type of sale indicated on the original filed monthly tax statement.
STEP 4: Read, Sign and Date
____________________________________________________________________
____________________________
Sign Here
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.
The Property Tax Assistance Division at the Texas Comptroller of Public Accounts provides property tax
For more information, visit our website:
information and resources for taxpayers, local taxing entities, appraisal districts and appraisal review boards.
50-804 • 12-11/1

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