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. Doestheorganizationoperateinsuchamannerthatdoesnotresultintheaccrualofdistributableprots,thedistribution
orprots,ortherealizationofanyotherformofprivategain?
4. Does the organization use its assets in performing its religious functions or the religious functions of another religious
organization?
5. Doestheorganization’scharterbylaws,orotherregulationadoptedbytheorganizationdirectthatonthediscontinuance
oftheorganization,theorganization’sassetsaretobetransferredtotheStateofTexas,theUnitedStates,ortoan
educational,religious,charitable,orothersimilarorganizationthatisqualiedforexemptionunderSection501(c)(3),
InternalRevenueCode,asamended?
If“YES”,givethepageandparagraphnumbers.Page______Paragraph______
Pleaseattachacopyofthecharter,bylaws,orotherdocumentsadoptedbytheorganizationwhichgovernitsaairs.
Harris County Appraisal District
ExemptionCenter
13013NorthwestFwy.
P.O.Box922012
Houston,TX77292-2012
(713)957-7800
Form 11.20 (01/2012)
Application for Religious Organization
Property Tax Exemption for ________
Year
ThisapplicationcoverspropertyyouownedonJanuary1ofthisyear,oracquiredduringthisyear.Youmustlethecompletedapplicationwith
allrequireddocumentationbetweenJanuary1andnolaterthanApril30oftheyearforwhichyouarerequestinganexemption.Ifyouacquire
thepropertyafterJanuary1ofthisyearandwishtoqualifyfortheexemptionthisyear,youmustapplybeforetherstanniversaryofthedate
youacquiredtheproperty,orbeforetherstanniversaryofthedateanypropertywasacquiredafterJanuary1.Ifthechiefappraisergrantsthe
exemption,youdonotneedtoreapplyannually,butyoumustreapplyifthechiefappraiserrequiresyoutodoso,orifyouwanttheexemptionto
applytopropertynotlistedinthisapplication.Youmustnotifythechiefappraiserinwritingifandwhenyourrighttothisexemptionends.If you
lled out this form online, you must print it, sign it, and mail it to the address above.
PursuanttoTaxCode§11.45,afterconsideringthisapplicationandallrelevantinformation,thechiefappraisermayrequestadditionalinformation
fromyou.Youmustprovidetheadditionalinformationwithin30daysoftherequestortheapplicationisdenied.Forgoodcauseshown,thechief
appraisermayextendthedeadlineforfurnishingtheadditionalinformationbywrittenorderforasingleperiodnottoexceed15days
NameofOrganization
PresentMailingAddress(number and street)
City,TownorPostOce,State,ZIPCode Phone (area code and number)
NameofPersonPreparingthisApplication Driver’sLicense,PersonalI.D.Certicate, Title
orSocialSecurityNumber*
2.YesNo
3.YesNo
4. YesNo
Step 1. Name and Address of Organization
Step 2. Answer These Questions About the Organization
Continue on next page
Ifthisapplicationisforanexemptionfromadvaloremtaxationofpropertyownedbyacharitableorganizationwithafederaltaxidenticationnumber,thatnumber
maybeprovidedhereinlieuofadriver’slicensenumber,personalidenticationcerticatenumber,orsocialsecuritynumber:
*Unlesstheapplicantisacharitableorganizationwithafederaltaxidenticationnumber,theapplicant’sdriver’slicensenumber,personalidenticationcertifcatenumber,orsocialsecurityaccount
numberisrequired.PursuanttoTaxCodeSection11.48(a),adriver’slicensenumber,personalidenticationcerticatenumber,orsocialsecurityaccountnumberprovidedinanapplicationforan
exemptionledwithachiefappraiseriscondentialandnotopentopublicinspection.Theinformationmaynotbedisclosedtoanyoneotherthananemployeeoftheappraisalocewhoappraises
property,exceptasauthorizedbyTaxCodeSection11.48(b).Iftheapplicantisacharitableorganizationwithafederaltaxidenticationnumber,theapplicantmayprovidetheorganization’sfederal
taxidenticationnumberinlieuofadriver’slicensenumber,personalidenticationcerticatenumber,orsocialsecurityaccountnumber.
5. YesNo