50-170-1(9-93) [25.10 (4-82)]
YEAR (for which request is made)
REQUEST FOR SEPARATE TAXATION OF STANDING TIMBER
Appraisal district name Address Phone (area code and number)
To qualify for the taxation of standing timber separate from the land on which it is located, either the owner of the land or of the timber must submit this request form to the chief appraiser for the appraisal district in which the land is located between January 1 and April 30 of this tax year. In addition, the applicant must prove separate ownership by supplying the chief appraiser with the following documents:
Step 1: Owner's name and address
Owner's name
Current mailing address (number and street) City, town or post office, state, ZIP code Please indicate whether the property owner listed above owns an interest in the land or the standing timber involved in this request. (Check one) Phone (area code and number)
Step 2: Describe the Property
Land
Standing Timber
Describe the property: _________________________________________________________________________________________________
Address or location of property: __________________________________________________________________________________________
____________________________________________________________________________________________________________________
Step 3: Agent's name and address
Authorized agent (if different from above) Current mailing address (number and street) City, town or post office, state, ZIP code
Step 4: List owner's name and address (attach additional pages if needed)
Please list the names and addresses of all persons who own an interest in the land or the timber and indicate whether their interest is in land or the timber.
Owner's name Current mailing address (number and street) City, town or post office, state, ZIP code Check one Timber Owner's name Current mailing address (number and street) City, town or post office, state, ZIP code Check one Timber Owner's name Current mailing address (number and street) City, town or post office, state, ZIP code Check one Timber Owner's name Current mailing address (number and street) City, town or post office, state, ZIP code Check one Timber Land Land Land Land
Form 50-170-2 (9-93) [25.10 (4/82)]
Step 5: Sign the form
I hereby affirm that the standing timber is separately owned from the land on which it is located, each being owned by persons identified in this request. I hereby request that the standing timber located on the land described in this request be listed on the appraisal records of the appraisal offiice separately from the land on which the timber is located.
I certify that the information given on this form is true and correct to the best of my knowledge and belief.
sign here ±
Signature
Date