50-294 (12-01/2) [32.03]
STATEMENT OF UNPAID TAXES ON MANUFACTURED HOME
County appraisal district / County tax office name: Phone (area code and number): Fax (area code and number):
District/office mailing address:
Taxing units where manufactured home is located:
City, state, ZIP code + 4:
Date of statement of unpaid taxes: __________ / __________ / __________
Step 1: Owner's name and address
Owner's name:
Property account number:
Current mailing address (number and street):
City, state, ZIP code + 4:
Phone (area code and number):
Step 2: Describe the property
Property description:
Make: __________________________________ Model: _________________________ Year Built: _______________ Serial Number or HUD Label Number: _________________________________________________________________
Step 3: Current taxes (See attached) Step 4: Delinquent taxes (If no delinquent taxes, the total will indicate $0.)
The attached Schedule A: Statement of Current Taxes on Manufactured Home reports total current taxes due on this described property . . . . . . . . . . . . . . . .
$__________________________________
This is to certify that, as reported by each taxing unit's collector where the manufactured home is located, the following delinquent taxes, penalties and interest are due on the above described property:
Year(s) Delinquent 1. _______________________ 2. _______________________ 3. _______________________ 4. _______________________ 5. _______________________ Taxing Unit and Collector's Address __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ TOTAL DELINQUENT TAXES Total Delinquent Taxes, Penalties and Interest $ _________________________________ $ _________________________________ $ _________________________________ $ _________________________________ $ _________________________________ $ _________________________________
Step 5: Total taxes Step 6: Taxing units not reporting
The total amount of current and delinquent taxes, penalties and interest reported due on this described property . . . . . . . . . . . . . . . . . . . . . . . . .
$__________________________________
The following taxing units did not respond to the request for statement of unpaid taxes on the described manufactured home:
1. ____________________________________________________________________________ 2. ____________________________________________________________________________ 3. ____________________________________________________________________________
Step 7: Authorized signature
Authorized chief appraiser/county tax collector:
Title:
Property Tax Code Section 32.03(b) states that if a chief appraiser does not provide an individual that requests the information with a statement of unpaid taxes within five days of the request, the bona fide purchaser or the lien holder on a manufactured home is not liable for the taxes, penalties and interest due on the manufactured home.