T S A
E X
Comptroller of Public Accounts FORM
50-140 (Rev. 12-01/5) [11.111 Rule 9.415]
YEAR
APPLICATION FOR TRANSITIONAL HOUSING PROPERTY TAX EXEMPTION
Appraisal district name Phone (area code and number)
Address
This application covers property you owned on January 1 of this year. You must file the completed application between January 1 and no later than April 30 of this year. Be sure to attach any additional documents requested. You must apply for this exemption every year; it will not be automatically renewed.
Step 1: Applicant's name and address
Applicant's name
Present mailing address (number and street)
City, town or post office, state, ZIP code Name of person preparing this application Owner is a(n): (please check) Driver's License, Personal I.D. Certificate, or Social Security Number*:
Phone (area code and number) Title
Individual
Association
Corporation
Nonprofit Corporation
Governmental Entity
Step 2: Describe real property
Legal description:
Appraisal district account number (Optional):
Step 3: List taxing units that have granted an exemption on the property
Taxing unit
Taxing unit
Has every taxing unit listed above exempted the property by ordinance or order? (Attach a copy of ordinance or order.) ..............................................................................................
Yes
No
Step 4: Answer these questions about the organization
Does the organization provide housing to the poor? .............................................................................. Does the organization provide housing for a fee? .................................................................................. Is the program under which housing is provided operated by United States Department of Housing and Urban Development? .............................................................................. Does the organization provide housing for more than a temporary period? .......................................... Are the resident individuals or a member of a family participating in a program to provide self-sufficiency?.................................................................................................................... Is the property leased from the United States or an agency of the United States? ................................ (Attach a copy of the lease.) If the answer is yes, is the lessee a non-profit organization? ..............................................................
Signature
Yes Yes Yes Yes Yes Yes Yes
No No No No No No No
Step 5: Sign the application
Date
On behalf of (name of organization)
Title
If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state jail felony under Texas Penal Code Section 37.10.
* You are required to give us this information on this form, in order to perform tax related functions for this office. Section 11.43 of the Tax Code authorizes this office to request this information to determine tax compliance.