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Harris County Appraisal District
Exemption Center
13013 Northwest Fwy.
P. O. Box 922012
Houston, TX. 77292-2012
(713) 957-7800
Form 11.18 (12/2019)
Application for Charitable Organization
Property Tax Exemption for _______
Year
GENERAL INSTRUCTIONS: This application covers property you owned or leased from the state or political subdivision of the state on January 1 of
this year or acquired during this year. You must furnish all information and documentation required by the application.
APPLICATION DEADLINES: You must file the completed application with all required documentation between January 1 and no later than April 30 of
the year for which you are requesting an exemption. If you acquired 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 propert , or before the first anniversary of the date any property was
acquired after January 1.
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.
OTHER IMPORTANT INFORMATION
Pursuant to Tax Code §11.45, after considering this application and all relevant information, the chief appraiser may request additional information from
you. You must provide the additional information within 30 days of the request or the application is denied. For good cause shown, the chief appraiser
may extend the deadline for furnishing the additional information by written order for a single period not to exceed 15 days.
Name of Organization
______________________________________________________________________________________________
Mailing Address
________________________________________________________ ____________________________________
City, State, ZIP Code Phone (area code and number)
______________________________________________________________________________________________
Organization is a (check one):
Partnership Corporation Other (specify): _____________________________________________
__________________________________ _____________________ ____________________________________
Name of Person Preparing this Application Title
Driver’s License, Personal I.D. Certificate, orSocial
Security Number*
If operated by a corporation, is the corporation non-profit as defined by the Texas Non-Profit Corporation Act (art.1396-1.01 VACS et.
seq.)? .................................................................................................. Yes No
If this application is for an exemption from ad valorem taxation of property owned by a charitable organization with a federal tax identification
numbe , that number may be provided here in lieu of a driver’s license number, personal identification certificate number,or social security
number: ......................................... ______________
*Unless the applicant is a charitable organization with a federal tax identification numbe , the applicant’s driver’s license number, personal
identification certificate number, or social security account number is required. Pursuant to Tax Code §11.48(a), a driver’s license number,
personal identification certificate number, or social security account number provided in an application for an exemption filed with a chief
appraiser is confidential and not open to public inspection. The information may not be disclosed to anyone other than an employee of the
appraisal office who appraises property, except as authorized by Tax Code §11.48(b). If the applicant is a charitable organization with a
federal tax identification number, the applicant may provide the organization’s federal tax identification number in lieu of a driver’s license
number, personal identification certificate number, or social security account number.
Step 1: Provide Name and Address of Organization and Identity of Person Preparing Application
Please indicate the basis for your authority to represent the property owner in filing this application:
Officer, board member or authorized employee of charitable organization
Attorney for charitable organization
Agent for tax matters appointed under Tax Code Section 1.111 with completed and signed Form 50-162
Other (specify): _________________________________________________________________________________________________________
Provide the following information for the individual with the legal authority to act for the property owner in this matter:
____________________________________________________________________ ________________________________________________
Name of Applicant
Driver’s License, Personal I.D. Certificate
Social Security Number or Federal Tax I.D. Number*
_______________________________ _______________________________________ ____________________________________________
Title of Applicant Primary Phone Number (area code and number)
Email Address**
_____________________________________________________________________________________________________________________
Mailing Address, City, State, Zip Code
*If the property owner is a company, charitable organization, or other legal entity (not an individual), the Federal Tax I.D. Number is to be provided.
Disclosure of your social security number (SSN) may be required and is authorized by law for the purpose of tax administration and identification of
any individual affected by applicable law. Authority: 42 U.S.C. § 405(c)(2)(C)(i); Tax Code Section 11.43(f). Except as authorized by Tax Code
Section11.48(b), a driver’s license number, personal identification certificate number, or social security number provided in this application for an
exemption filed with your county appraisal district is confidential and not open to public inspection under Tax Code Section 11.48(a).
** An email address of a member of the public could be confidential under Government Code Section 552.137; however, by including the email
address on this form, you are affirmatively consenting to its release under the Public Information Act.
to
its release under the Public Information Act.
Step 2: Applicant Information
Application for Charitable Organization Property Tax Exemption
Step 3: Answer These Questions About the Organization
3.
Does the organization operate in such a manner that does NOT result in the accrual of distributable profits, realization of privat gain resulting from
payment of compensation in excess of a reasonable allowance for salary or other compensation for services rendered, or realization of any
other form of private gain? ........................................................................................................................ Yes No
4.
Check the appropriate box(es) if any of the following statements describe a function performed by the organization.
Provide medical care without regard to ability to pay. * Tax Code §11.18 (d)(1)*
Provides support or relief to orphaned, delinquent, dependent or handicapped children who need residential care, or to abused or battered
spouses or children in need of temporary shelter, or to the impoverished, or to victims of natural disaster without regard to ability to pay.* Tax
Code §11.18 (d)(2)*
Provides support, without regard to ability to pay, to elderly persons, including the provision of recreational or social activities; and facilities
designed to address the special needs of elderly persons OR provides support, without regard to ability to pay, to the handicapped including
training and employment in the production of commodities or provision of services. A charitable organization that provides support to elderly
persons must engage primarily in performing the described function, but may engage in other activities that support or are related to its
charitable functions. Tax Code Section 11.18(d)(3)
Preserves a historical landmark or site. Tax Code §11.18 (d)(4)
Promotes or operates a museum, zoo, library, theater of the dramatic or performing arts, symphony orchestra or choir. Tax Code §11.18 (d)(5)
Promotes or provides humane treatment of animals. Tax Code §11.18 (d)(6)
Answers fire alarms and extinguishes fire with little or no compensation paid to members. Tax Code §11.18 (d)(8)
Provides permanent housing and related social, health care and educational facilities for persons 62 years of age or older without regard to
ability to pay. Tax Code §11.18 (d)(13)
Preserves or conserves wildlife. Tax Code §11.18 (d)(10)
Continue on Page 3
11.18 (12/2019)
page 2
Promotes educational development through student loans or scholarships. Tax Code §11.18 (d)(11)
D1
D2
D3
D4
D5
D6
D7
D8
D9
D10
D11
D12
D13
D14
1.
The organization must satisfy the requirements of Article VIII, Section 2 (a) of the Texas Constitution.
Is the organization engaged primarily in public charitable functions? ........................................................ Yes No
If yes, using an attachment, describe the organization’s activities in a narrative. The narrative description of activities should be thorough, accurate
and include date-specific references to the tax year for whic the exemption is sought. You may also attach representative copies of newsletters,
brochures or similar documents for supporting details to this narrative.
2.
Is the organization organized exclusively to perform religious, charitable, scientific, literary or educational purposes? .................. Yes No
If yes, attach copies of organizational documents supporting your answer.
D15
D16
Promotes or operates an art gallery, museum or collection in a permanent location or on tour that is open to the public. Tax Code §11.18 (d)(14)
a.
Does the organization have a volunteer board of directors? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
b.
Is the organization affiliated with a state or national organization that authorizes, approves or sanctions volunteer
fundraising organizations? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
c.
Does the organization qualify for exemption under Internal Revenue Code Section 501(c)(3), as amended? . . . . . . . . . . Yes No
d.
Does the organization distribute contributions to at least five other organizations which (1) use the funds for charitable
purposes; (2) are governed by volunteer boards of directors; (3) qualify for exemption under Internal Revenue Code
Section 501(c)(3), as amended; (4) receive a majority of their revenue from charitable gifts and government agencies;
and (5) provide services without regard to their beneficiaries’ ability to pay? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If yes, attach a list of organizations.
Acquires, stores, transports, sells or distributes water for public use. Tax Code §11.18 (d)(7)
Performs biomedical or scientific research or scientific education for benefit of the public.* Tax Code §11.18 (d)(16)
Operates a television station that produces or broadcasts educational, cultural or other public intrest programming and that receives grants
from the Corporation for Public Broadcasting. 47 [U.S.C.A. Sec. 396.*] Tax Code §11.18 (d)(17)
D17
Promotes the athletic development of boys or girls under the age of 18 years.* Tax Code §11.18 (d)(9)
Provides halfway house services if certified as a halfway house by the parole division of the Texas Department of Criminal Justice. Tax Code
§11.18 (d)
Provides for the organized solicitation of gifts and grants to non-profit human services organizations. Tax Code Section 11.18(d)(15)
If this function is checked, answer the following questions:
Yes
No
Provides housing for low-income and moderate-income families, for unmarried individuals 62 years old or older, for handicapped individuals,
and for families displaced by urban renewal, through the use of trust assets irrevocably dedicated through a contract entered into before
December 31, 1972, for the sale of housing to a charitable organization performing the athletic development of boys and girls under 18
years.* Tax Code §11.18 (d)(18)
D18
Application for Charitable Organization Property Tax Exemption
Step 3: Answer These Questions About the Organization (continued)
Aquires, holds, and transfers unimproved real property under an urban land bank demonstration program established under Chapter 379 ,
Local Government Code, as or on behalf of a land bank. Tax Code §11.18 (d)(21)
Aquires, holds, or transfers unimproved real property under an urban land bank demonstration program established under Chapter 379e ,
Local Government Code, as or on behalf of a land bank. Tax Code §11.18 (d)(22)
Provides housing and related services to individuals who are unaccompanied, homeless and have a disabling condition who have been
continuously homeless for a year or more or have had at least four episodes of homelessness in the preceding 3 years and are owned by
a charitable organization that has been in existence for at least 12 years.The exemptions applies to property that is used to provide
housing and related services to individuals described by that subsection that are located on a single campus owned by a municipality with
a population of more than 750,000 and less than 850,000. Tax Code §11.18 (d)(23)
Operates a radio station that broadcasts educational, cultural or other public interest programming, including classical music, and that in the
preceding five years has received or been selected to receive one or more grants from the Corporation for Public Broadcasting under 47
U.S.C. Section 396, as amended, Tax Code §11.18 (d)(24)
Provides without regard to the beneficiaries’ ability to pay, tax return preparation services and assistance with other financial matters.
Tax Code §11.18 (d)(25)
*A corporation that performs a function that is marked with an asterisk (*) does not have to be organized as a nonprofit corporation
** A charitable organization that performed this function must engage primarily in performing the described function, but may engage in other
activities that support or are related to its charitable functions.
5.
Does the organization perform, or does its charter permit it to perform, any functions other than those checked in question 2? Yes No
If “Yes,” attach a statement describing the other functions in detail.
Continue on Page 4
page 3
11.18 (12/2019)
Provides housing and services to people 62 years old or older in a retirement community that provides independent and assisted living
services and nursing services to residents on a single campus, without regard to ability to pay or in which at least 4 percent of community’s
combined net resident revenue is provided in charitable care to its residents.
Tax Code §11.18 (d)(19)
D20
D21
D19
Provide housing on a cooperative basis to students of an institution of higher education as a 501 (c) (3) tax exempt organization that is
open to all students enrolled in the institution, governed by its members, and housing is mandated by shared responsibility of its members.
Tax Code §11.18 (d)(20)
D22
D23
D24
D25
3.
Do these documents direct that on the discontinuance of the organization, the organization’s assets are to be transferred
to the State of Texas, to the United States, or to an educational, religious, charitable or other similar organization that is
qualified for exemption under §501(c)(3), Internal Revenue Code, as amended ...............................................................................
a. If “Yes,” give the page and paragraph numbers. Page _______ Paragraph_______________
If “No,” do these documents direct that on discontinuance of the organization, the organization’s assets are to be transferred to
its members who have promised in their membership applications to immediately transfer them to the State of Texas, to the
United States, or to an educational, religious, charitable or other similar organization that is qualified for exemption under
§501(c)(3), Internal Revenue Code, as amended? .......................................................................................................................
Yes No
(1) If “Yes,” give the page and paragraph numbers. Page _______ Paragraph_______________
If “Yes,” was the two-step transfer required for the organization to qualify for exemption under
§
501(c)(3), Internal Revenue Code, as amended? ..................................................................................................................... Yes No
Step 4: Answer These Questions About the Organization’s Bylaws or Charter
Attach a copy of the charter, bylaws or other documents adopted by the organization which govern its affairs, and answer the following questions
1.
Does the organization use its assets in performing the organization’s charitable functions or the charitable function of another charitable
organization? .................................................................................................................................................................
2.
Yes No
Does the charitable organization divide responsibility with another organization? .................................................................... Yes No
If “Yes,” is that organization:
1.
exempt from federal income taxation under §501(a), Internal Revenue Code of 1986, as an organization described by
§
501(c)(3) of that code;
2.
meets the criteria for a charitable organization under §11.18 (e) and (f) Texas Tax Code; and
3.
under common control with the charitable organization? .................................................................................................... Yes No
b.
Yes No
Step 5: Describe the Property for Which You Are Seeking an Exemption
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: Read, Sign, and Date
• By signing this application, you designate the property described in the attached Schedules A and B as the property against
which the charitable organization exemption 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
Sign
Here
Printed Name
If you make a false statement on this application, you could be found guilty of a Class A misdemeanor or a state
page 4 page 4 jail felony under Texas Penal Code Section 37.10.
page 4
11.18 (12/2019)
Application for Charitable Organization Property Tax Exemption
Application for Charitable Organization Property Tax Exemption
HCAD Account Number
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.
State the year for which you are
seeking an exemption: _______
Name of Property Owner
___________________________________________________________________________________________________________
Legal Description of Property [also attach copy of deed(s)]
___________________________________________________________________________________________________________
Describe the primary use of this property
___________________________________________________________________________________________________________
Is this property currently under active construction or physical preparation? ................................................................. Yes
No
If under construction, when will construction be completed? (date) _________________
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
(Please attach all supporting documentation)
Is the incomplete improvement designed and intended to be used exclusively by a qualified charitable organization? Yes
No
Does any portion of this property produce income? .......................................................................................... Yes
No
If “Yes,” attach a statement describing use of the revenue.
Is the land on which the incomplete improvement is located reasonably necessary for the use of the improvement in the
operation of the association/organization? ..................................................................................................................... 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
Page 5
11.18 (12/2019)
____________________________
Application for Charitable Organization Property Tax Exemption
HCAD Account Number
__________________________
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.
State the year for which you are
seeking an exemption:
___________
Name of Property Owner
___________________________________________________________________________________________________________
Is this property reasonably necessary for operation of the association/organization? ...............................................
Yes No
___________________________________________________________________________________________________________
Item Location
Page 611.18 (12/2019)
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