Free Mine and Quarry Rendition of Taxable Property - Texas

50-151 (Rev. 11-07/5)

CONFIDENTIAL

MINE AND QUARRY RENDITION OF TAXABLE PROPERTY
This rendition covers property you own on January 1 of this year. You must file this rendition with the county appraisal district after January 1 and not later than April 15 of this year. On written request, the chief appraiser must extend the deadline to May 15. You may receive an additional 15-day extension if you request it in writing and show good cause for the extension. If you have previously filed a rendition form and it remains an accurate rendition of your property for this year, you may check the box below and sign this form. When required by the Tax Code or by the chief appraiser, the person rendering property shall use the model form adopted by the Comptroller of Public Accounts, or use a form containing information that is in substantial compliance with the model form if approved by the comptroller.
Appraisal district name Property owner's name Present mailing address Property identification number Tax year

City, town or post office, state, ZIP code Property address

Phone (area code and number)

City, town or post office, state, ZIP code Type of ownership (Check one)

Individual
Authorized agent's name Present mailing address

Partnership

Corporation

Trust

Other (describe) _______________________________________

City, town or post office, state, ZIP code

Phone (area code and number)

By checking this box, I affirm that the information contained in my most recent rendition statement filed for a prior tax year (this rendition was filed for the _________ tax year) continues to be complete and accurate for the current tax year.
Attach additional sheets if necessary

Description of Property (Including reserves)

Property Owner's Estimate of Market Value (Optional)*

* NOTE: Although rendering a value is not required, such action entitles the property owner to be notified if an appraised value greater than the rendered value is to be submitted to the appraisal review board. Property owners may protest appraised values before the appraisal review board. (Section 25.19, Tax Code)

50-151-2 (Rev. 11-07/5)

Are you the property owner, an employee of the property owner, or an employee of a property owner on behalf of an affiliated entity of the property owner? Yes No This form must be signed and dated. By signing this document, you attest that the information contained on it is true and correct to the best of your knowledge and belief. If you checked "Yes" above, sign and date on the first signature line below. No notarization is required.
Signature

__________________________________________________________________ Date _________________ If you checked "No" above, you must complete the following: I swear that the information provided on this form is true and correct to the best of my knowledge and belief.
Signature

__________________________________________________________________ Date _________________

Subscribed and sworn before me this ____________day of ____________________________, 20______.
__________________________________________________________

Notary Public, State of Texas

Section 22.26 of the Tax Code states: (a) Each rendition statement or property report required or authorized by this chapter must be signed by an individual who is required to file the statement or report. (b) When a corporation is required to file a statement or report, an officer of the corporation or an employee or agent who has been designated in writing by the board of directors or by an authorized officer to sign in behalf of the corporation must sign the statement or report.
If you make a false statement on this form, you could be found guilty of a Class A misdemeanor or a state jail felony under Section 37.10, Penal Code.