Form 50-284 - Request For Confidentiality Under Tax Code Section 25.025
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Texas Comptroller of Public Accounts
50-284
Request for Confidentiality Under Tax Code Section 25.025
_____________________________________________________________________
___________________________
Appraisal District Name
Phone (area code and number)
_____________________________________________________________________
___________________________
Appraisal District Address, City, State, ZIP Code
Appraisal District Website Address
GENERAL INSTRUCTIONS: This form is used for qualified property owners to make an election to restrict public access to their home address
information pursuant to Tax Code Section 25.025. This election remains in effect until rescinded in writing by the qualified individual. Tax Code Section
25.025 does not prohibit the public disclosure of information in appraisal records that identifies property by home address if the information does not
identify the qualified individual property owner who has made this election.
State judges (as defined by Government Code Section 572.002), federal judges and their spouses are not required to file this request. The Office of Court
Administration automatically notifies the appraisal district at the time of a judge’s qualification for confidentiality.
FILING INSTRUCTIONS: This document must be filed with the appraisal district office in each county in which the property is located. Do not file this
document with the Texas Comptroller of Public Accounts. A directory with contact information for appraisal district offices may be found on the Comptroller’s
website.
SECTION 1: Name and Address
Provide the information to be held confidential.
________________________________________________
_______________________________________________
Name of Person Requesting Confidentiality
Name of Property Owner (if different)
___________________________________________________________________________________________________
Home Address (number and street), City, State, ZIP Code
SECTION 2: Qualification
Select the box below indicating your qualification under Tax Code Section 25.025(a) for restriction of public access to your home address.
Address Confidentiality Program
County Jailer
A participant in the Office of the Attorney General’s address confi-
Occupations Code Section 1701.001 defines a county jailer
dentiality program administered under Code of Criminal Procedure,
as a person employed as a county jail guard under Local
Chapter 56, Subchapter C.
Government Code Section 85.005.
Refer to section 3 for required documentation to be provided with this
District, Criminal District, County or Municipal Attorney
request.
A current or former district attorney, criminal district attorney,
county or municipal attorney whose jurisdiction includes any
Armed Forces
criminal law or child protective services matters or the current or
A current or former member of the U.S. armed forces who has
former employee of the attorney.
served in an area that the U.S. President designates by executive
order as an area in which armed forces of the United States are or
Family Violence
have engaged in combat.
An individual who shows that the individual, the individual’s child
or another person in the individual’s household is a victim of
Attorney General Employee
family violence as defined by Family Code Section 71.004.
A current or former employee of the Office of the Attorney General
Refer to section 3 for required documentation to be provided
who is or was assigned to a division with duties which involve law
with this request.
enforcement.
Federal Judge
Commissioned Security Officer
A current, former or a retired judge of a U.S. court of appeals, a
Occupations Code Section 1702.002 defines commissioned security
U.S. district court or a U.S. bankruptcy court; or a current, former
officer as a security officer to whom a security officer commission
or retired magistrate judge of a U.S. district court; the spouse of
has been issued by the Texas Private Security Board.
the judge or a current or former employee of the judge.
Community Supervision and Corrections Department
Juvenile Justice Program or Facility
An officer or employee of a community supervision and corrections
A current or former employee of a juvenile justice program or
department established under Government Code Chapter 76 who
facility as defined by Family Code Section 261.405.
performs a duty described in Government Code Section 76.004(b).
The Property Tax Assistance Division at the Texas Comptroller of Public Accounts provides property tax
For more information, visit our website:
comptroller.texas.gov/taxes/property-tax
information and resources for taxpayers, local taxing entities, appraisal districts and appraisal review boards.
50-284 • 09-17/12
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