T S A
E X
Comptroller of Public Accounts FORM
50-119 (Rev. 8-03/9) [11.21 Rule 9.415]
YEAR
APPLICATION FOR PRIVATE SCHOOL PROPERTY TAX EXEMPTION
Appraisal district name Address Phone (area code and number)
This application covers property you owned or leased from a religious organization on January 1 of this year, or acquired during this year. You must file the completed form between January 1 and April 30 of this year. If you acquire the property after January 1 of this year and wish to qualify for the exemption this year, you must apply before the first anniversary of the date you acquired the property, or before the first anniversary of the date any property was acquired after January 1. Be sure to attach any additional documents requested. If the chief appraiser grants the exemption, you do not need to reapply annually, but you must reapply if the chief appraiser requires you to do so, or if you want the exemption to apply to property not listed in this application. You must notify the chief appraiser in writing if and when your right to this exemption ends. Return the completed form to the address above.
Step 1: Name and address of school
Name of school Present mailing address City, town or post office, state, ZIP code Name of person preparing this application Driver's License, Personal I.D. Certificate, or Social Security Number*: Phone (area code and number) Title
Step 2: School operator
Operator of school (check appropriate box)
Individual
Corporation
Association Yes No
If operated by a corporation, is the corporation non-profit as defined by the Texas Non-Profit Corporation Act (art. 1396-1.01 VACS et. seq.)? ............................................
Name of school owner Mailing address if different from above City, town or post office, state, ZIP code
Phone (area code and number)
Step 3: Answer these questions about the school
1. Does anyone other than the owner operate the school? .................................................................. If yes, is the operator the former owner of the property?.................................................................. 2. Does the school maintain a regular faculty and curriculum? ............................................................ 3. Does the school have a regularly organized body of students?........................................................ 4. Do classes normally meet at one of the buildings to be exempted? ................................................
Yes Yes Yes Yes Yes
No No No No No
Step 4: Answer these questions about the school's finances
In the past year has the organization loaned funds to, borrowed funds from, sold property to or bought property from a shareholder, director or member of the organization, or has a shareholder or member sold his interest in the organization for profit?................................................. If "YES," attach a description of each transaction. For sales, give buyer, seller, price paid, value of the property sold and date of sale. For loans, give lender, borrower, amount borrowed, interest rate and term of loan. Attach a copy of note, if any.
Yes
No
Attach a list of salaries and other compensation for services paid in the last year. Also list any funds distributed to members, shareholders or directors in the last year. In each case, give recipient's name, type of service rendered or reason for payment and amounts paid.
Does the school operate in a manner which permits the accrual of profits or distribution of any other form of private gain?...................................................................................................................... Continue on Page 2
Yes
No
50-119 (Rev. 8-03/9) - Page 2
Step 5: Answer these questions about the school's bylaws or charter
Attach a copy of the charter, bylaws or other documents adopted by the school which govern its affairs, and answer the following questions.
1. Does the school use its assets in performing its educational functions or the educational functions of another educational organization? .................................................................................................
Yes
No
2. Do these documents direct that on the discontinuance of the school, the school's assets are to be transferred to the State of Texas, the United States, or to an educational, religious, charitable or other similar organization that is qualified for exemption under Section 501 (c)(3), Internal Revenue Code, as amended? ........................................................................................................................... If "YES," give the page and paragraph numbers: Page ________ Paragraph _______
Yes
No
Step 6: Describe your property
PROPERTY TO BE EXEMPT · Attach one Schedule A (REAL PROPERTY) form for EACH parcel of real property to be exempt. · Attach one Schedule B (PERSONAL PROPERTY) form listing ALL personal property to be exempt.
Step 7: Sign the application
· By signing this application, you designate the property described in the attached Schedules A and B as the property against which the private school exemption may be claimed in this appraisal district. · You certify that this information is true and correct to the best of your knowledge and belief.
On behalf of (name of organization) Date
Authorized signature
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. 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.
50-119 (Rev. 8-03/9) - Page 3 [11.21-A]
Schedule A: Description of real property
· Complete one Schedule A form for EACH parcel qualified for exemption. · Attach all completed schedules to your application for exemption.
Name of property owner** Legal description of property Appraisal district account number (Optional): Describe the primary use of this property.
1. Is this property used exclusively for school purposes? ...................................................................................................... 2. Is this property held for gain, rented or used with a view to profit? ................................................................................... 3. Is this property the organization's state headquarters? ...................................................................................................... 4. Is the property currently under active construction or physical preparation?..................................................................... If you answered yes to this question, please answer the following questions: A. If under construction, when will construction be completed? (date) _______________________*** B. If under physical preparation, check which activity the organization has done. (Check all that apply.) Architectural work Engineering work Soil testing Land clearing activities Site improvement work Environmental or land use study
Yes Yes Yes Yes
No No No No
5. Is the incomplete improvement designed and intended to be used for a qualified private school purpose?.................... 6. Is the land on which the improvement is located reasonably necessary for the use of the improvement for the operation of the qualified private school? ...........................................................................................................................
Yes
No
Yes
No
List all other individuals and organizations that used this property in the past year, and give the requested information for each. NAME DATES USED ACTIVITY RENT PAID, IF ANY
Continue on additional sheets as needed. **If property owner is a religious organization, attach a copy of the school's lease agreement. ***An incomplete improvement exempted for the three years preceding the 2003 tax year is entitled to exemption for the 2003 tax year regardless of whether the property owner applies for the exemption for the 2003 tax year if the property otherwise qualifies. The chief appraiser may require the property owner to file an application to confirm the owner's qualification for exemption for the 2003 tax year. An exemption for an incomplete improvement is for five years. Effective January 1, 2006, the exemption will revert back to three years.
50-119 (Rev. 8-03/9) - Page 4 [11.21-B]
Schedule B: Description of personal property
· List all tangible property to be exempt on this schedule. · Attach all completed schedules to your application for exemption.
Name of owner
Is this property reasonably necessary for operation of the school? .......................................................................................... Is this property held for gain? ..................... Is this property used exclusively for school purposes? .............................................................................................................
Yes Yes Yes
No No No
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LOCATION