Form 50-115 - Application For Charitable Organization Property Tax Exemption Page 5

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P r o p e r t y T a x

A p p l i c a t i o n f o r C h a r i t a b l e O r g a n i z a t i o n P r o p e r t y T a x E x e m p t i o n

Form 50-115

Schedule A: Description of Real Property

• Complete one Schedule A form for EACH parcel qualified for exemption.

• Attach all completed schedules to your application for exemption.

______________________________________________________________________

____________________________

Name of Property Owner

Appraisal District Account Number (if known)

Legal description of property:

Describe the primary use of this property:



Is the property currently under construction or physical preparation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

_____________________

If under construction, when will construction be completed? (date)

If under physical preparation, check which activity the organization has done. (Check all that apply.)



Architectural work

Land clearing activities

Engineering work



Site improvement work

Soil testing

Environmental or land use study



Is the incomplete improvement designed and intended to be used exclusively by the qualified charitable organization? . . . . . . . . . . .

Yes



Does any portion of this property produce income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If “Yes” attach a statement describing use of the revenue.

Is the land on which the incomplete improvement is located reasonably necessary for the use of the improvement



in the operation of the association/organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

List all other individuals and organizations that used this property in the past year, and give the requested information for each.

Name

Dates Used

Activity

Rent Paid, If Any

Continue on additional sheets as needed.

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50-115 • 08-12/13 • Page 5