50-214 (Rev. 8-03/8) [11.30 Rule 9.415]
APPLICATION FOR NONPROFIT WATER SUPPLY OR WASTEWATER SERVICE CORPORATION PROPERTY TAX EXEMPTION
Appraisal district name
YEAR
Phone (area code and number)
Address
This application covers property you owned on January 1 of this year, or acquired during this year. You must file the completed application between January 1 and no later than 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 organization
Name of organization
Present mailing address
City, town or post office, state, ZIP code
Phone (area code and number)
Name of person preparing this application
Driver's License, Personal I.D. Certificate, or Social Security Number*:
Title
Organization is operated by: (please check)
Individual
Association
Corporation
If operated by a corporation, is the corporation organized under Chapter 67, Water Code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
No
Step 2: Answer these questions about the organization
1. 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. 2. 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 a profit?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 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. 3. If operated by a corporation, is the corporation non-profit as defined by the Texas Non-Profit Corporation Act (Article 1396, Tex. Rev. Civ. Stat.)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
No
Step 3: Answer these questions about the organization's by-laws and charter
1. If the organization is a corporation, does the corporation's charter provide: a. That no dividends shall ever be paid on the corporation's stock? . . . . . . . . . . . . . . . . . . . . . . . . . Yes b. That all profits arising from the operation of the corporation's business must be paid each year to cities, towns, counties, other political subdivisions, private corporations and other persons who, during the past year, transacted business with the corporation, in direct proportion to the amount of business transacted?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes c. That no dividends will be paid while the corporation's indebtedness remains unpaid? . . . . . . . . Yes d. That the corporation's directors may allocate the amount of annual profits they find are necessary for maintenance, upkeep, operation and replacements? . . . . . . . . . . . . . . . . . . . . . . . Yes 2. Do the bylaws of the organization provide that on dissolution of the organization the corporation's assets remaining after discharge of the corporation's indebtedness shall finally be transferred to an entity that provides a water supply or wastewater service, or both, that is exempt from property taxation?. . . . . . . . . . No
No No No
Yes
No No No
Step 4: Answer these questions about the organization's property
1. Is the organization's property used to acquire, treat, store, transport, sell or distribute water? . . . . . . Yes 2. Is the organization's property used to provide wastewarer service?. . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
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50-214-2 (Rev. 8-03/8)
Step 5: 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. · List only property owned by the organization.
Step 6: 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 exemption for nonprofit water supply or wastewater service corporation 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.
50-214-3 (Rev. 8-03/8)
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 owner
Legal description of property
Appraisal district account number (Optional):
Describe the primary use of this property.
1. 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 Land clearing activities Engineering work Site improvement work Soil testing Environmental or land use study 2. Is the incomplete improvement designed and intended to be used in the operation of the corporation for the purpose of acquiring, treating, storing, transporting, selling or distributing water or to provide wastewater service? . . . . . . . . . . . 3. Does any portion of this property produce income? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If "YES," attach a statement describing use of the revenue. 4. Is the land on which the incomplete improvement is located reasonably necessary for the use of the improvement in the operation of the corporation as described in question 2 above? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes Yes
No 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. **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.
50-214-4 (Rev. 8-03/8)
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 association / organization?
Yes
No
ITEM
LOCATION