CONFIDENTIAL GENERAL REAL ESTATE RENDITION OF TAXABLE PROPERTY
This rendition covers the property you owned on January 1 of this year. You must file this rendition with your county appraisal district after January 1 and not later than April 15 of this year. On written request, the chief appraiser must extend the deadline to May 15. You may receive an additional 15-day extension if you request it in writing and show good cause for the extension. When required by the Tax Code or by the chief appraiser, the person rendering property shall use the model form adopted by the Comptroller of Public Accounts, or use a form containing information that is in substantial compliance with the model form if approved by the comptroller. Appraisal district name
Property identification number
50-141 (Rev. 8-03/4)
Tax year
Property owner's name Present mailing address
City, town or post office, state, ZIP code Property address City, town or post office, state, ZIP code Type of ownership
Phone (area code and number)
Individual
Authorized agent's name Present mailing address
Partnership
Corporation
Trust
Other (describe) _______________________________
City, town or post office, state, ZIP code BUILDING: List and describe all buildings
Phone (area code and number)
OTHER IMPROVEMENTS: List and describe all improvements other than buildings (e.g. swimming pool, paved parking lot).
LAND:
Legal Description
Lot Size or No. of Acres
Property owner's estimate of market value (optional)*
*NOTE:
Although rendering a value is not required, such action entitles the property owner to be notified if an appraised value greater than the rendered value is to be submitted to the appraisal review board. Property owners may protest appraised values before the appraisal review board. (Section 25.19, Tax Code)
Are you the property owner, an employee of the property owner, or an employee of a property owner on behalf of an affiliated entity of the property owner? Yes No
This form must be signed and dated. By signing this document, you attest that the information contained on it is true and correct to the best of your knowledge and belief. If you checked "Yes" above, sign and date on the first signature line below. No notarization is required.
Signature
If you checked "No" above, you must complete the following:
Signature
__________________________________________________________________ Date _________________
I swear that the information provided on this form is true and correct to the best of my knowledge and belief.
__________________________________________________________________ Date _________________
Subscribed and sworn before me this ____________day of ____________________________, 20______.
__________________________________________________________
Notary Public, State of Texas
Section 22.26 of the Tax Code states: (a) Each rendition statement or property report required or authorized by this chapter must be signed by an individual who is required to file the statement or report. (b) When a corporation is required to file a statement or report, an officer of the corporation or an employee or agent who has been designated in writing by the board of directors or by an authorized officer to sign in behalf of the corporation must sign the statement or report. 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 Section 37.10, Penal Code.