50-308 (9-03)
REQUEST TO TAXING UNIT FOR STATEMENT OF DELINQUENT TAXES FOR TAX FORECLOSURE SALE
Request from County Tax Office (name): Address: Request to (school or city name): Address:
Phone (area code & number): ( ) Fax (area code & number): ( ) E-Mail Address: Date of county's request: _____/_____/______
Phone (area code & number): ( ) Fax (area code & number): ( ) E-Mail Address: Date to return this request: _____/____/_____
Instructions: Property Tax Code Section 34.015 requires a purchaser at a tax foreclosure sale to obtain a statement of no delinquent taxes. This statement must indicate any delinquent county, city or school taxes for property in this county. Attached is a copy of the person or company's completed request. Please complete below for the properties listed on the attached copy and return this form to the county tax office by the date above. Step 1: Name and address of requesting person/ company Step 2: Delinquent taxes on currently owned properties by person/ company listed in Step 1
Requesting person/company's name (please print): _____________________________________________________________________________________________________ Current mailing address: __________________________________________________ Phone (area code and number): ( City, state: _____________________________ ZIP code +4: _________________
)_______________________________ Date of Request: _______/______/_____
For the properties currently owned and listed on the above person/company's Request for Written Statement about Delinquent Taxes for Tax Foreclosure Sale, there are no delinquent taxes owed this taxing unit. OR For the properties currently owned and listed on the above person/company's Request for Written Statement about Delinquent Taxes for Tax Foreclosure Sale, there are delinquent taxes, penalties and interest due as follows: Years Delinquent: ___________________________________________________________________________________ Total Amount of delinquent taxes, penalties and interest if paid in the month of _______________, _____ is : $______________________
Step 3: Delinquent taxes on formerly owned properties by person/ company listed in Step 1
For the properties formerly owned and listed on the above person/company's Request for Written Statement about Delinquent Taxes for Tax Foreclosure Sale, there are no delinquent taxes owed this taxing unit. OR For the properties formerly owned and listed on the above person/company's Request for Written Statement about Delinquent Taxes for Tax Foreclosure Sale, there are delinquent taxes, penalties and interest due as follows: Years Delinquent: _________________________________________________________ Total Amount of delinquent taxes, penalties and interest if paid in the month of _______________, _____ is : $______________________
Step 4: Signature of this unit's tax collector or deputy
____________________________________________ ___________________________________________ Title ________________________________________________
Date _____/______/_______ Date _____/______/_______
City or school use: Request received: ____/____/____ Request completed and sent: ____/____/____ By __________________________________