50-124 (Rev. 8-03/8) [11.271 Rule 9.415]
APPLICATION FOR STORED OFFSHORE DRILLING RIG 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 Phone (area code and number)
Owner is a(n): (please check)
Individual
Association
Corporation
Nonprofit Corporation
Title
Name of person preparing this application
Driver's License, Personal I.D. Certificate, or Social Security Number*: Is this location in a county bordering the Gulf of Mexico or on a body of water continguous to the Gulf?
Step 2: Describe the property
Description Location (appraisal district account number, optional)
Is this item stored for repairs or maintenance only?
Is this item being used to drill a well where it is stored?
Yes Yes Yes Yes Yes Yes Yes Yes
No No No No No No No No
Yes Yes Yes Yes Yes Yes Yes Yes
No No No No No No No No
Yes Yes Yes Yes Yes Yes Yes Yes
No No No No No No No No
Step 3: 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.