Free 50-122 Application for Historic or Archeological Site Property Tax Exemption - Texas

50-122 (Rev.8-03/7) [11.24 Rule 9.415]

APPLICATION FOR HISTORIC OR ARCHEOLOGICAL SITE PROPERTY TAX EXEMPTION
Appraisal district name Address

YEAR

Phone (area code and number)

This application covers property you owned on January 1 of this year. You must file the completed application between January 1 and April 30 of this year. Be sure to attach any additional documents requested. You must apply for this exemption every year; it will not be automatically renewed. Step 1: Owner's name and address
Owner's name Present mailing address City, town or post office, state, ZIP code Owner is a(n): (please check) Phone (area code and number) Driver's License, Personal I.D. Certificate, or Social Security Number*:

Individual

Association

Corporation

Nonprofit corporation
Title

Name of person preparing this application

Driver's License, Personal I.D. Certificate, or Social Security Number:

Step 2: Describe the property

Legal description:

Appraisal district account number (Optional):

Step 3: List taxing units that have granted an exemption on the property (Attach copy of each order granting exemption)
Has the Texas Historical Commission designated this property as a recorded Texas historical landmark or state archeological landmark? (attach copy of order) ............................. Yes Has each taxing unit listed above designated this property as a recorded Texas historical landmark or an historic or archeological site in need or tax relief? (attach copy of order) .............................................................................................................................. Yes No

No

Step 4: Sign the application

By signing this application, you certify that this information is true and correct to the best of your knowledge and belief.
Signature Date

On behalf of (name of organization)

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.