Free 50-140 Application for Transitional Housing Property Tax Exemption - Texas

T S A

E X

Comptroller of Public Accounts FORM

50-140 (Rev. 12-01/5) [11.111 Rule 9.415]

YEAR

APPLICATION FOR TRANSITIONAL HOUSING PROPERTY TAX EXEMPTION
Appraisal district name Phone (area code and number)

Address

This application covers property you owned on January 1 of this year. You must file the completed application between January 1 and no later than 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: Applicant's name and address

Applicant's name

Present mailing address (number and street)

City, town or post office, state, ZIP code Name of person preparing this application Owner is a(n): (please check) Driver's License, Personal I.D. Certificate, or Social Security Number*:

Phone (area code and number) Title

Individual

Association

Corporation

Nonprofit Corporation

Governmental Entity

Step 2: Describe real property

Legal description:

Appraisal district account number (Optional):

Step 3: List taxing units that have granted an exemption on the property

Taxing unit

Taxing unit

Has every taxing unit listed above exempted the property by ordinance or order? (Attach a copy of ordinance or order.) ..............................................................................................

Yes

No

Step 4: Answer these questions about the organization

Does the organization provide housing to the poor? .............................................................................. Does the organization provide housing for a fee? .................................................................................. Is the program under which housing is provided operated by United States Department of Housing and Urban Development? .............................................................................. Does the organization provide housing for more than a temporary period? .......................................... Are the resident individuals or a member of a family participating in a program to provide self-sufficiency?.................................................................................................................... Is the property leased from the United States or an agency of the United States? ................................ (Attach a copy of the lease.) If the answer is yes, is the lessee a non-profit organization? ..............................................................
Signature

Yes Yes Yes Yes Yes Yes Yes

No No No No No No No

Step 5: Sign the application

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.