1. Operator of Organization (check appropriate box) Individual Corporation Association
2. Is the organization organized and operated primarily for the purpose of engaging in religious worship or promoting the
spirtual development or well-being of individuals?
3. Doestheorganizationoperateinsuchamannerthatdoesnotresultintheaccrualofdistributableprots,thedistribution
orprots,ortherealizationofanyotherformofprivategain?
4. Does the organization use its assets in performing its religious functions or the religious functions of another religious
organization?
5. Doestheorganization’scharterbylaws,orotherregulationadoptedbytheorganization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qualiedforexemptionunderSection501(c)(3),
InternalRevenueCode,asamended?
If“YES”,givethepageandparagraphnumbers.Page______Paragraph______
Pleaseattachacopyofthecharter,bylaws,orotherdocumentsadoptedbytheorganizationwhichgovernitsaairs.
Harris County Appraisal District
ExemptionCenter
13013NorthwestFwy.
P.O.Box922012
Houston,TX77292-2012
(713)957-7800
Form 11.20 (01/2012)
Application for Religious Organization
Property Tax Exemption for ________
Year
ThisapplicationcoverspropertyyouownedonJanuary1ofthisyear,oracquiredduringthisyear.Youmustle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acquire
thepropertyafterJanuary1ofthisyearandwishtoqualifyfortheexemptionthisyear,youmustapplybeforetherstanniversaryofthedate
youacquiredtheproperty,orbeforetherst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.If you
lled out this form online, you must print it, sign it, and mail it to the address above.
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
PresentMailingAddress(number and street)
City,TownorPostOce,State,ZIPCode Phone (area code and number)
NameofPersonPreparingthisApplication Driver’sLicense,PersonalI.D.Certicate, Title
orSocialSecurityNumber*
2.YesNo
3.YesNo
4. YesNo
Step 1. Name and Address of Organization
Step 2. Answer These Questions About the Organization
Continue on next page
Ifthisapplicationisforanexemptionfromadvaloremtaxationofpropertyownedbyacharitableorganizationwithafederaltaxidenticationnumber,thatnumber
maybeprovidedhereinlieuofadriver’slicensenumber,personalidenticationcerticatenumber,orsocialsecuritynumber:
*Unlesstheapplicantisacharitableorganizationwithafederaltaxidenticationnumber,theapplicant’sdriver’slicensenumber,personalidenticationcertifcatenumber,orsocialsecurityaccount
numberisrequired.PursuanttoTaxCodeSection11.48(a),adriver’slicensenumber,personalidenticationcerticatenumber,orsocialsecurityaccountnumberprovidedinanapplicationforan
exemptionledwithachiefappraiseriscondentialandnotopentopublicinspection.Theinformationmaynotbedisclosedtoanyoneotherthananemployeeoftheappraisalocewhoappraises
property,exceptasauthorizedbyTaxCodeSection11.48(b).Iftheapplicantisacharitableorganizationwithafederaltaxidenticationnumber,theapplicantmayprovidetheorganization’sfederal
taxidenticationnumberinlieuofadriver’slicensenumber,personalidenticationcerticatenumber,orsocialsecurityaccountnumber.
5. YesNo
On behalf of (name of organization) Date
AuthorizedSignature
sign
here
Title
Printedsignature
Bysigningthisapplication,youdesignatethepropertydescribedintheattachedSchedulesARandBRasthepropertyagainstwhich
theexemptionforreligiousorganizationsmaybeclaimedintheappraisaldistrict.
Youcertifythatthisinformation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.
You are required to give this information on this form, in order to perform tax related functions for this oce. Section
11.43 of the Tax Code authorizes this oce to request this information to determine tax compliance. The chief appraiser
is required to keep this information condential and not open to public inspection, except to appraisal oce employees
who appraise property and as authorized by Section 11.48(b), Tax Code.
Step 4. Sign the application
Formoreinformation,visitourWebsite: www.window.state.tx.us/taxinfo/proptax
PROPERTY TO BE EXEMPT:
. AttachonescheduleAR(REALPROPERTY)formforEACHparcelofrealpropertytobeexempt.
. AttachonescheduleBR(PERSONALPROPERTY)formlistingALLpersonalpropertytobeexempt.
. Listonlypropertyownedbytheorganization.
ThepropertyTaxAssistance DivisionattheTexasComptrollerofPublicAccounts provides propertytaxinformationandresourcesfor
taxpayers,localtaxingentities,appraisaldistrictsandappraisalreviewboards.
Formoreinformation,visitourWebsite: www.window.state.tx.us/taxinfo/proptax
Step 3. Describe your property
NameofPropertyOwner
LegalDescriptionofProperty[alsoattachcopyofdeed(s)]
Describetheprimaryuseofthisproperty StreetAddressofProperty
Schedule AR: Real property used as actual place of religious
worship, clergy residence, or endowment fund property.
· Complete one Schedule AR form for EACH parcel of real property to be exempted.
Type of Property
Actual Place of Religious Worship
1. Is the building currently under construction or physical preparation?
a. Ifunderconstruction,whenwillconstructionbecompleted?(date)_________________**
b. 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supportingdocumentation)
2. Is the property primarily used for religious worship?
3. Are worship services regularly held at the property?
4. Does any portion of this property produce income?
a. If“Yes,”attachastatementdescribinguseoftherevenue.
5. Is the property reasonably necessary for religious worship?
Clergy Residence
1. Isthepropertyusedexclusivelyasaresidence?
2. Isthepropertyoccupiedexclusivelybypersonswhoseprincipaloccupationistoserveintheorganization’s
clergy?
3. Does any portion of this property produce income?
a. Howmuchlandisusedfortheresidence?________________________
4. Is all of the property reasonably necessary for use as a residence?
Foreclosure Sale Property Held by Endowment Fund
1. Wasthepropertyacquiredbyforeclosuretoprotectabondormortgageheldbytheendowmentfundand
usedexclusivelyforsupportoftheorganization?
a. If“Yes,”whatwasthedateoftheforeclosuresale?___________________________
Property leased by a school qualied under Tax Code Section 11.21.
Land owned for the purpose of expansion of regular religious worship or construction of a new place of regular worship.
1.
CompleteScheduleLR.
HCADAccountNumber
TaxYear
1.YesNo
2.YesNo
3. YesNo
5.YesNo
4.YesNo
1.YesNo
2. YesNo
4.YesNo
3.YesNo
1. YesNo
Schedule BR: Personal property used at actual place of
religious worship or clergy residence.
1. List only that personal property which is reasonably necessary for worship at actual place of religious worship or for use at a
residence for clergy.
a. Type of Property b. Location of Property
HCADAccountNumber
TaxYear
Schedule LR: Land owned for the purpose of expansion of regu-
lar religious workshop or construction of a new place of regular
worhip.
· Complete one Schedule LR form for EACH parcel of land to be exempted.
HCADAccountNumber
TaxYear
1.Nameofpropertyowner
2.Legaldescriptionofproperty
3.Tractsizeoracreageamount
TaxCodeSection11.20(a)(6)providesthatlandownedbythereligiousorganizationforthepurposeofexpansionofaplaceofregularreligious
worshiporconstructionofanewplaceofregularreligiousworshipmaybeexempt.Subsection(j)providesthatatractoflandcontiguoustothe
tractoflandonwhichthereligiousorganization’splaceofregularreligiousworshipislocatedmaybeexemptfornomorethansixyears.Atract
oflandnotcontiguoustothetractoflandonwhichthereligiousorganization’splaceofregularreligiousworshipislocatedmaybeexemptfor
nomorethanthreeyears.Atractiscontiguouswithanothertractoflandifthetractsaredividedonlybyaroad,railroadtrack,river,orstream.
StatementofExpansionorConstruction:
Theabovedescribedlandownedbythisreligiousorganizationwillbeusedforthepurposeofexpandingthecurrentregularreligiousworship
orfortheconstructionofanewplaceofregularreligiousworship.Thelanddoesnotproducerevenueforthisplaceofreligiousorganization.
Icertifythatthisstatementistrueandcorrecttothebestofmyknowledgeandbelief.
AuthorizedSignature
sign
here
NameofAuthorizedOcer Date of statement
If you make a false statement on this form, you could be guilty of a Class A misdemeanor or a state jail felony under Texas Penal
Code Section 37.10.