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50-253 (Rev. 1-05/14)

Comptroller of Public Accounts Property Tax Division

2005 REPORT ON VALUE LOST BECAUSE OF THE SCHOOL TAX LIMITATION ON HOMESTEADS OF THE ELDERLY
Please submit original and one copy of this form to the Property Tax Division's Reporting Section. Submit a certified recap that corresponds with the values reported on this report. (See instructions for due dates.) The Property Tax Division's address is Post Office Box 13528, Austin, Texas 78711-3528. Our fax number is 512/305-9801 or 512/463-2427. The Reporting Section staff is available at 1-800-252-9121 to answer questions.

All information requested is for the 2005 tax year.
School District Name CAD Name County/Dist./CAD No. SR0001/SR0002

FF001

1. 2.

Total number of age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads in the school district on which a tax ceiling exists for the 2005 tax year. 2005 total appraised value (if the value is capped @ 10 percent per year, use the capped value) of the age 65 or older, disabled and qualified age 55 or older surviving $ spouse homesteads reported in Item 1 above before exemptions are deducted. 2005 total appraised value lost to allowable exemptions granted on the age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1. (Include losses due to state-mandated $15,000 exemptions; $10,000 age 65 or older or disabled exemptions; disabled or deceased veteran's survivor(s) exemptions; water conservation exemption; solar and wind-powered exemptions and historical $ exemptions). DO NOT INCLUDE ANY LOCAL OPTIONAL EXEMPTIONS. Total 2005 taxable value of age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1 after allowable exemptions are deducted. (Must equal the remainder of Item 2 minus Item 3.)
FF002

3.

FF003

4.

FF004

$
FF005

5. 6.

2005 total school district tax rate. Total 2005 levy on age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1 that would have been generated (paid) without the tax ceiling. (Must equal the levy calculated by multiplying the tax rate reported in Item 5 times the value reported in Item 4 times 0.01.) Actual 2005 total levy on age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1. (will be paid) Total 2005 levy lost on age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1. (Must equal the remainder of Item 6 minus Item 7.) (will not be paid) Total 2005 value lost on age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1. (Must equal Item 8 divided by Item 5 times 100.)

$



$

FF006

FF007

7. 8.

$
FF008

$
FF009

9.

$
FF010

10. 2005 total appraised value deducted for local optional age 65 or older, disabled and local optional percent exemptions granted on the age 65 or older and qualified age $ 55 or older surviving spouse homesteads reported in Item 1. 11. Total 2005 value lost on age 65 or older, disabled and qualified age 55 or older surviving spouse homesteads reported in Item 1. (Item 9 minus Item 10)
Chief appraiser's signature certifying the value lost to the tax ceiling.

FF011

$

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