Fillable 11-181 Fill 11-181 State Comptroller Version.pdf

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11-181 Fill 11-181 State Comptroller Version.pdf

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Name of Organization
Mailing Address
City, State, ZIP Code
Phone (area code and number)
Organization is a (check one):
Harris County Appraisal District
Exemption Center
P. O. Box 922010
Houston, TX. 77292-2010
(713) 957-7800
11.181(
08/2016)
Application for Charitable Organizations Improving
Property For Low-Income Housing Property Tax
Exemption for ______
Year
Step 1. Organization Information
Step 2. Applicant Information
Name of Person Preparing this Application Title
Driver’s License, Personal I.D.
Certificate, or Social Security Number*
If this application is for property owned by a charitable organization with a federal tax
identification number, that number may be provided in lieu of a driver’s license number,
personal identification certificate number, or social security number: . . . . . . . . .
. . . . . . . . . . .
* Pursuant to Tax Code Section 11.48(a), a driver’s license, personal I.D. certificate, or social security 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 Section
11.48(b).
Step 3.
Property Information
• Attach one Schedule A form for each parcel of real property (improved and unimproved) to be exempt.
•
Attach one Schedule B form for each building to be exempt.
•
Attach one Schedule C form listing all personal property to be exempt.
Continue on Page 2
GENERAL INSTRUCTIONS:
This application is
for use
in claiming a property tax exemption on improved and unimproved real property or tangible
personal
property
owned
by a charitable organization engaged in the building, repair, and sale of housing pursuant to Tax Code Section 11.181.
The application applies to property owned on January 1 of this year or acquired during this year.
APPLICATION DEADLINES: You must file the completed application with all
required documentation beginning January 1 and no later than April 30 of
the year for
which
you are requesting an exemption. If you acquire property that qualifies for an exemption after the application deadline has passed, you
may
apply for the exemption no later than the 30th day after the property has been acquired.
ANNUAL APPLICATION REQUIRED: You must reapply for this exemption annually. If the chief appraiser grants the exemption, the exemption for that
year applies only to the portion of the year in which the property qualified for the exemption. If you have filled out this form online, you must print it, sign
it
and mail it to the address above.
Partnership Corporation
Other (specify):
OTHER IMPORTANT INFORMATION
Pursuant to Tax Code Section 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.
Application for Charitable Organizations Improving Property for Low-Income Housing Property Tax Exemption
Ta x
1
.
Do these documents pledge the organization’s assets for use in performing the organization’s charitable functions?
If
2.
Do these documents direct that on the discontinuance of the organization the organization’s assets are to be
transferred to the State of Texas, the United States, or to an educational, religious, charitable or other similar
organization that is qualified for exemption under Internal Revenue Code, Section 501(c)(3), as amended?
If yes, provide the page and paragraph numbers.
3.
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 application to immediately transfer them to the
State of Texas or to an educational, religious, charitable or other similar organization that is qualified for exemption
under Internal Revenue Code, Section 501(c)(3), as amended?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If yes, provide the page and paragraph numbers. Page _______ Paragraph _______
If yes, was this two-step transfer required for the organization to qualify for exemption under Internal
Revenue Code, Section 501(c)(3), as amended? ......... ........................................
Step
6. Certification and Signature
By signing this application, you designate the property described in the attached Schedules A, B and C as the property against
which a Tax Code Section 11.181 exemption may be claimed in this appraisal district.
You certify that the information provided in this application is true and correct to the best of your knowledge and belief.
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.
11.181 (08/2016)
1. Yes
No
2. Yes
No
3. Yes
No
Yes
No
yes, provide the page and paragraph numbers.
Page ______
Paragraph _______
Page _______ Paragraph _______
4.
Does the organization own the property for the purpose of building or repairing housing on it primarily with the
use of volunteer labor, and to sell without profit to an individual or family satisfying the organization’s low-income
and other eligibility requirements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
Does the organization engage exclusively in the building, repair, and sale of housing as described above, and
related activities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
Does the organization perform or does its charter permit it to perform, any functions other than those described
in question 2? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If yes, attach a statement describing the other functions in detail.
7.
Does the organization operate in such a manner that does not result in the accrual of distributable profits, the
distribution of profits, or the realization of any other form of private gain? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Yes
No
5. Yes
No
6. Yes
No
7. Yes
No
Step 4. Questions About the Organization
1.
Is the organization organized as a nonprofit corporation as defined by the Texas Non-Profit Corporation Act
(Article 1396-1.01 et seq., Vernon's Texas Civil Statues)? ................................................
2.
Is the organization engaged primarily in public charitable functions? ......................................
If yes, attach a narrative statement describing the organization’s activities. The statement should be thorough,
accurate and include date-specific references to the tax year for which the exemption is sought. You may attach
representative copies of newsletters, brochures or similar supporting documents.
3.
Is the organization organized exclusively to perform religious, charitable, scientific, literary or educational purposes?
If yes, attach copies of organizational documents supporting your answer.
1. Yes
No
2.
Yes
No
3.
Yes
No
__________________________________________________________
______________________________________
Authorized Signature
Date
Step 5. Questions About the Organization’s Bylaws or Charter
Attach a copy of the charter, bylaws, or other documents adopted by the organization that govern its affairs.
Continue on Page 3
__________________________________________________________ ______________________________________
Printed Name
Title
Page 2
Is this property reasonably necessary for operation of the organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Application for Charitable Organizations Improving Property for Low-Income Housing Property Tax Exemption
T
Schedule A: Description of Real Property
•
Complete one Schedule A form for EACH parcel of improved and unimproved
real property to be exempt. List only property owned by the organization.
•
Attach all completed schedules to the application for exemption.
Account Number
Tax Year
Describe the Primary Use of the Property (also attach copy of deed(s))
Legal Description of Property (
if known
)
____________________________________________________________________________________________________
______________________________________________________________________________________________________________
Address, City, State, Zip Code
Name of Property Owner
Date of Acquisition of the Property
11.181 (08/2016)
Page 3
List all other individuals and organizations that used this property in the past year and provide the following information for each.
NAME DATES USED ACTIVITY RENT PAID, IF ANY
Continue on Page 4
____________________________________________________________________________________________________
____________________________________________________________________________________________________
_________________________________
Application for Charitable Organizations Improving Property for Low-Income Housing Property Tax Exemption
Schedule B: Description of Buildings Used for Administration of Organization
•
Complete one Schedule B form for EACH building qualified for exemption.
List only property owned by the organization.
•
Attach all completed schedules to the application for exemption.
Account Number
Tax Year
Name of Property Owner
___________________________________________________________________________________________________
Address, City, State, Zip Code
__________________________________________________________________________________________________________
Legal Description of Property (if known)
___________________________________________________________________________________________________________
Describe the Primary Use of the Property (also attach copy of deed(s))
11.181 (08/2016)
Page 4
NAME DATES USED ACTIVITY RENT PAID, IF ANY
Is this property reasonably necessary for operation of the organization? . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .
Yes
No
List all other individuals and organizations that used this property in the past year and provide the following information for each.
Continue on Page 5
___________________________________________________________________________________________________________
11.181 (08/2016)
Page 5
Name of Property Owner
Is this property reasonably necessary for operation of the organization?
Application for Charitable Organizations Improving Property for Low-Income Housing Property Tax Exemption
Pr op r t y
Schedule C: Description of Personal Property
•
Complete one Schedule C for all personal property to be exempt. List only
property owned by the organization. Continue on additional pages if necessary.
•
Attach the completed schedule to the application for exemption.
Yeses
Account Number
Tax Year
ITEM LOCATION
No
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Completed 3 July 2020

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