50-286 (Rev. 9/03/1)
LESSOR'S APPLICATION FOR PERSONAL USE LEASE AUTOMOBILE EXEMPTIONS
Appraisal district name
Year
Phone (area code and number)
Address
This application is for an automobile you leased to another person on or after January 2, 2001 and you owned and leased to another person on January 1 of this year. You must file the completed form 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. This exemption will not be automatically renewed. Step 1: Name and address of owner (Lease Company)
Name of Owner (Leasing Company) Phone (area code and number)
Present mailing address
City, town or post office, state, ZIP code
Name & Title of person preparing this application
Driver's License, Personal I.D. Certificate, or Social Security Number*:
Step 2: Name and address of lessee vehicle ID, vehicle physical location and other required information or attach Schedule A list of leased vehicles, see page 2.**
Name of Lessee
Phone (area code and number)
Present mailing address
City, town or post office, state, ZIP code
County
Vehicle Identification Number
Year
Make
Body Style Type
Model
Weight***
Lease Date
Address where vehicle is kept
City, town or post office, state, ZIP code
County
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Has the property owner maintained the lessee's affidavit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes Yes
No No
For Appraisal District Use
County Other Taxing Units School Other Taxing Units City Special District
I certify the information on this document and any information attached is true and correct to the best of my knowledge and belief.
Signature of Person Authorized to Sign for Lease Company 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 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. The chief appraiser is required to keep the information confidential and not open to public inspection, except to appraisal office employees who appraise property and as authorized by Section 11.48(b), Tax Code. ** Or a format/form with all required information from Step 2, which has received substantial compliance approval from the comptroller. This information may be submitted electronically if the appraisal district agrees. *** If vehicle empty weight exceeds 9,000 pounds, the vehicle does not qualify for this exemption. NOTE: Section 11.252, Tax Code, provides that a vehicle is used primarily for non-income producing activities when 50 percent or more of the total mileage for a 12 month period was for non-income producing purposes, and the lessee files an affidavit of personal use with the leasing company.
50-286 page 2 (Rev. 9-03/1)
SCHEDULE A: LIST OF LEASED VEHICLES
Present mailing address City, town or post office, state, ZIP code Phone (area code and number) County
Name of Lessee
Address where vehicle is kept
City, town or post office, state, ZIP code
County
Vehicle Identification Number
Year
Make
Body Style/Type
Model
Weight***
Lease Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes Yes
No No
County
Has the property owner maintained lessee's affidavit?
Present mailing address City, town or post office, state, ZIP code
Name of Lessee
Phone (area code and number)
Address where vehicle is kept
City, town or post office, state, ZIP code
County
Vehicle Identification Number
Year
Make
Body Style/Type
Model
Weight***
Lease Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes Yes
No No
Phone (area code and number) County
Has the property owner maintained lessee's affidavit?
Present mailing address City, town or post office, state, ZIP code
Name of Lessee
Address where vehicle is kept
City, town or post office, state, ZIP code
County
Vehicle Identification Number
Year
Make
Body Style/Type
Model
Weight***
Lease Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes Yes
City, town or post office, state, ZIP code Phone (area code and number)
No No
County
Has the property owner maintained lessee's affidavit?
Present mailing address
Name of Lessee
Address where vehicle is kept
City, town or post office, state, ZIP code
County
Vehicle Identification Number
Year
Make
Body Style/Type
Model
Weight***
Lease Date
Has the lessee signed an affidavit designating the vehicle as not held for income production and not used for the production of income?
Yes Yes
No No
Has the property owner maintained lessee's affidavit?